MEDICARE: MELISSA A DAY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11439	NC

General Provider Information

NPI Number	:	1477730422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A DAY PT

Provider Business Mailing Address
First Line	:	1130D SNOW BRIDGE LN
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-8411
Country	:	US
Telephone Number	:	336-904-0467
Fax Number	:	336-497-3072

Provider Business Practice Location Address
First Line	:	1130D SNOW BRIDGE LN
Second Line	:
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-8411
Country	:	US
Telephone Number	:	336-904-0467
Fax Number	:	336-497-3072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	12/01/2015

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