Individual
MELISSA PRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6425 HARVEY ST, NORTON SHORES, MI 49444-9739
(317) 984-8662
(231) 798-6391
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-7135
(616) 840-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501018949
MI
2251P0200X
Pediatric Physical Therapist
Primary
5501018949
MI
Other
Enumeration date
12/10/2018
Last updated
05/02/2024
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