Doctor Name: | MS. MELISSA MOORE ANDERSON |
NPI Number: | 1366574949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT005690L |
Business Practice Address: | 4880 N Sherman Street Ext Mount Wolf, PA - 173479637 |
Business Phone Number: | 7172669294 |
Business Fax Number: | |
Mailing Address: | 1777 Summerfield Dr, MECHANICSBURG |
State: | PA |
Postal Code: | 170555196 |
Phone Number: | 7175745416 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 05/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT005690L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |