NPI 1003068693

Melissa M Ide, PTA

Practitioner Physical Therapy Assistant Easton, PA

Practice location

Address: 4100 Freemansburg Ave, Easton, PA 18045-5540
Phone: (610) 330-9030

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence TE005407L (PA)

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Registry record

NPI: 1003068693
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2008
Record last updated: 15 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.