Individual provider · NPI-1

Melissa Michaluk

Physical Medicine & Rehabilitation · Williamsport, PA

NPI number1164565776
StatusActive
Last updated in NPPESMay 24, 2021

Details

NPI
1164565776
Entity type
Individual (NPI-1)
Name
Melissa Michaluk
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2007
Certification date
Jan 25, 2021
Last updated
May 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationOS016539PAYes

Practice location

700 High St
Williamsport, PA 17701-3100

Phone 570-321-2619

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

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