Individual
MS. MELISSA GREALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT,MS, PT
Contact information
Practice address
115 WELLNESS DR, WILLISTON, VT 05495-2088
(802) 860-1358
Mailing address
236 MARTINDALE RD, SHELBURNE, VT 05482-6721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003713
VT
2251X0800X
Orthopedic Physical Therapist
007986
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013505
—
VT
Enumeration date
02/22/2007
Last updated
05/02/2016
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