Provider Demographics
NPI:1346431814
Name:UDELL, MELINDA DAY (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:DAY
Last Name:UDELL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:1060 NIAGARA FALLS BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9300
Mailing Address - Country:US
Mailing Address - Phone:716-836-2225
Mailing Address - Fax:716-836-2712
Practice Address - Street 1:1060 NIAGARA FALLS BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9300
Practice Address - Country:US
Practice Address - Phone:716-836-2225
Practice Address - Fax:716-836-2712
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY62 0295342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic