Individual
MELISSA STAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5633 MACK RD, SKANEATELES, NY 13152-9511
(315) 497-3579
Mailing address
5633 MACK RD, SKANEATELES, NY 13152-9511
(315) 497-3579
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0154131
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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