Individual
MS. MELISSA LYNN CLUGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Mailing address
7337 VALLEY AVE, PHILADELPHIA, PA 19128-3223
(215) 876-7930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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