Individual
MELISSA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 586-5977
Mailing address
134 BURKHALL ST APT 201, WEYMOUTH, MA 02190-3572
(508) 431-6863
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
25766
MA
Other
Enumeration date
08/26/2021
Last updated
05/25/2022
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