Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 18986 | MA |
Y | 225100000X | Physical Therapist | 3538 | NH |
N | 225100000X | Physical Therapist | PT3523 | ME |
N | 2251X0800X | Physical Therapist - Orthopedic | PT3523 | ME |
NPI | 1073741526 |
---|---|
Provider Name | Mrs. Melissa Allen |
First Address | Salem, NH 03079 |
Second Address | Salem, NH 03079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 20/11/2015 |