Doctor Name: | BRETT W MELWORM |
NPI Number: | 1124182191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 40QA00521000 |
Business Practice Address: | 47 Maple St Ste 108 Summit, NJ - 079012571 |
Business Phone Number: | 9085989009 |
Business Fax Number: | 9085989492 |
Mailing Address: | 12 Skyview Gardens Rd, LEBANON |
State: | NJ |
Postal Code: | 088333208 |
Phone Number: | 9086871830 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00521000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |