Individual
FRED MELCHIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
(610) 688-8807
Mailing address
372 W LANCASTER AVE, WAYNE, PA 19087-3924
(610) 688-8807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005808L
PA
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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