Individual
MISS MELISSA ANN CRUICE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
370 LANCASTER AVE, HAVERFORD, PA 19041-1336
(610) 896-1124
(610) 795-7963
Mailing address
217 SCOTTDALE RD, LANSDOWNE, PA 19050-2328
(610) 626-5752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003438
PA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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