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NPI Code Detail

MEDICARE: MELISSA BRUMMOND DPT

MEDICARE: MELISSA BRUMMOND DPT
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
1225100000XPhysical TherapistCP019259TAZ
2225100000XPhysical TherapistPENDINGMI
3225100000XPhysical Therapist10698NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578750188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BRUMMOND DPT
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 800 N LAKE DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2903
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 08/08/2025

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Directions to “ MELISSA BRUMMOND DPT” Practice Location

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