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:
Health care specialties
Specialty | Code | License # | 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 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366574949 | NPPES |
Pennsylvania | Other | 000528211 | PHYSICAL THERAPIST |
Pennsylvania | MEDICAID | 0019275810001 | PHYSICAL THERAPIST |
Pennsylvania | MEDICAID | 1037051190001 | PHYSICAL THERAPIST |
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