Individual
MR. BRIAN T. MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
314 E MAIN ST, NORTON, MA 02766-2571
(508) 285-1970
(508) 285-1972
Mailing address
69 BAYVIEW AVE, BERKLEY, MA 02779-1924
(508) 967-7938
(617) 488-2280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16010
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
833120
—
AZ
Enumeration date
02/14/2007
Last updated
07/29/2016
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