Provider Demographics
NPI:1043223191
Name:PASQUINELLI, MELISSA ANN (PT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:PASQUINELLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1197 WILLS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15530-7412
Mailing Address - Country:US
Mailing Address - Phone:724-523-3180
Mailing Address - Fax:
Practice Address - Street 1:528 FALLOWFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1509
Practice Address - Country:US
Practice Address - Phone:724-489-4110
Practice Address - Fax:724-489-4115
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-018281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist