Individual
MELISSA LYNN VIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 MAIN ST STE 2, NORTH TONAWANDA, NY 14120-5313
(716) 692-6388
(716) 692-1227
Mailing address
1328 MOLL ST, NORTH TONAWANDA, NY 14120-2230
(716) 743-8077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011866-1
NY
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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