Individual
MELANIE MIERZYNSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
833 N 21ST ST, PHILADELPHIA, PA 19130-1401
(215) 498-7223
Mailing address
833 N 21ST ST, PHILADELPHIA, PA 19130-1401
(215) 498-7223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002849
PA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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