| Doctor Name: | MELISSA CHARLOTTE MARVIGLIA |
| NPI Number: | 1013134717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 5899 |
| Business Practice Address: | 3341 E Queen Creek Rd Suite 109 Gilbert, AZ - 852978501 |
| Business Phone Number: | 4806218361 |
| Business Fax Number: | 4806218513 |
| Mailing Address: | 4771 E Meadow Lark Way, QUEEN CREEK |
| State: | AZ |
| Postal Code: | 852405207 |
| Phone Number: | 4808302445 |
| Fax Number: | 4806778921 |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 08/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 5899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |