Individual
MRS. MELISSA DAWN LEDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002607
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001958593
MOUNTAIN STATE BCBS
WV
01
—
1071301
WORKERS COMP, BRICKSTREET
WV
05
—
3810011332
—
WV
01
—
7415904
AETNA
WV
Enumeration date
01/30/2007
Last updated
10/03/2008
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