| Doctor Name: | MELANIE KATHRYN MOSS |
| NPI Number: | 1760756241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 4551 |
| Business Practice Address: | 159 W 1st St Oswego, NY - 131262045 |
| Business Phone Number: | 3153429575 |
| Business Fax Number: | |
| Mailing Address: | 207 W Yates St, 1st Floor EAST SYRACUSE |
| State: | NY |
| Postal Code: | 130572345 |
| Phone Number: | 5129400581 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2012 |
| NPI Last Update Date: | 08/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4551 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| 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 |