Doctor Name: | MRS. MELISSA J WILLIS |
NPI Number: | 1447333000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 9358 |
Business Practice Address: | 775 W Corbett Ave Ste 2 Swansboro, NC - 285848562 |
Business Phone Number: | 9103250211 |
Business Fax Number: | |
Mailing Address: | 3714 Guardian Ave Ste E, MOREHEAD CITY |
State: | NC |
Postal Code: | 285572975 |
Phone Number: | 2522472101 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |