Provider Demographics
NPI:1306026166
Name:MIOZZI, MELISSA ANN (PT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:MIOZZI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SERVERANCE CIRCLE
Mailing Address - Street 2:STE 115
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:216-381-0300
Mailing Address - Fax:216-896-0825
Practice Address - Street 1:5 SERVERANCE CIRCLE
Practice Address - Street 2:STE 115
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-381-0300
Practice Address - Fax:216-896-0825
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT011965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist