Anderson, Melissa Moore

Anderson, Melissa Moore is an sole proprietor health care provider with primary practice located at 115 S Saint Johns Dr , Camp Hill PA 17011-4147. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Anderson, Melissa Moore can be contacted via phone (717) 761-4754.

Contact Information

Primary practice address
115 S Saint Johns Dr Camp Hill PA 17011-4147
Phone: (717) 761-4754
Fax: (717) 370-6315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT005690L Pennsylvania

Profile Details

NPI number 1366574949
LBN Legal business name Anderson, Melissa Moore
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Apr 9th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366574949 NPPES
Pennsylvania Other 000528211 PHYSICAL THERAPIST
Pennsylvania MEDICAID 0019275810001 PHYSICAL THERAPIST
Pennsylvania MEDICAID 1037051190001 PHYSICAL THERAPIST

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