Fearon, Misty Melissa

Fearon, Misty Melissa is an individual health care provider with primary practice located at 1001 W Seneca St Suite 100, Ithaca NY 14850-3342. 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. Fearon, Misty Melissa can be contacted via phone (607) 277-8020.

Contact Information

Primary practice address
1001 W Seneca St Suite 100 Ithaca NY 14850-3342
Phone: (607) 277-8020
Fax: (607) 277-7961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01236800 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0180361 New York

Profile Details

NPI number 1922138148
LBN Legal business name Fearon, Misty Melissa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Mar 1st, 2011 - about 13 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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