| Doctor Name: | MRS. MELISSA ANN KNOWLTON |
| NPI Number: | 1699047662 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 007676 |
| Business Practice Address: | 19 Halls Rd Suite 201 Old Lyme, CT - 063711457 |
| Business Phone Number: | 8604345524 |
| Business Fax Number: | 8604343262 |
| Mailing Address: | 19 Halls Rd Ste 201, P.o. Box 854 OLD LYME |
| State: | CT |
| Postal Code: | 063711457 |
| Phone Number: | 8604345524 |
| Fax Number: | 8604343262 |
| NPI Enumeration Date: | 02/06/2012 |
| NPI Last Update Date: | 02/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 007676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| 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 |