Melissa K Destefano, DPT | |
409 2nd Ave, Suite 202, Collegeville, PA 19426-3625 | |
(610) 489-5772 | |
Not Available |
Full Name | Melissa K Destefano |
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Gender | Female |
Speciality | Physical Therapist |
Location | 409 2nd Ave, Collegeville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417206210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT022097 (Pennsylvania) | Primary |
Provider Name | Rehabclinics Spt Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255330148 PECOS PAC ID: 7113834102 Enrollment ID: O20180117000032 |
Mailing Address | Practice Location Address |
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Melissa K Destefano, DPT 409 2nd Ave, Suite 202, Collegeville, PA 19426-3625 Ph: () - | Melissa K Destefano, DPT 409 2nd Ave, Suite 202, Collegeville, PA 19426-3625 Ph: (610) 489-5772 |
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