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1952421448 NPI number — MELISE MULLINS ROWAN D.P.T.

NPI Number: 1952421448
Health Care Provider/Practitioner: MELISE MULLINS ROWAN D.P.T.

Information about “1952421448” NPI (MELISE MULLINS ROWAN D.P.T.) exists in 1952421448 in HTML format HTML  |  1952421448 in plain Text format TXT  |  1952421448 in PDF (Portable Document Format) PDF  |  1952421448 in an XML format XML  formats.

NPI Number : 1952421448 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952421448",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROWAN",
    "FirstName": "MELISE",
    "MiddleName": "MULLINS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MULLINS",
    "OtherFirstName": "KATHRYN",
    "OtherMiddleName": "MELISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "7 DOCK HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLEBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17842-8910",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-837-2123",
    "MailingAddressFaxNumber": "570-837-2185",
    "FirstLinePracticeLocationAddress": "100 S FIRST STREET",
    "SecondLinePracticeLocationAddress": "STE B",
    "PracticeLocationAddressCityName": "MILLERSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17061-1501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-692-4708",
    "PracticeLocationAddressFaxNumber": "717-692-5464",
    "EnumerationDate": "03/30/2007",
    "LastUpdateDate": "04/30/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "2305204832",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT024789",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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