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Melinda J Antonik, PT

Physical Therapist in Morgantown, WV. Individual provider (NPI-1).

NPI number1689790396
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1689790396
Entity type
Individual (NPI-1)
Name
Mrs. Melinda J Antonik
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist001288WVYes
225100000X Physical TherapistPT008393LPA

Practice location

161 Baker Ridge Rd
Morgantown, WV 26508

Phone 304-285-0692

Mailing address

1423 Palace Dr
Morgantown, WV 26508-9185

Phone 304-292-5452

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