Provider Demographics
NPI:1073045357
Name:DUBROW, MELISSA MAGDELINA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MAGDELINA
Last Name:DUBROW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:MAGDELINA
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7857 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:954-659-5370
Mailing Address - Fax:954-659-5371
Practice Address - Street 1:7857 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-659-5370
Practice Address - Fax:954-659-5371
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist