Provider Demographics
NPI:1467409524
Name:GERVINSKI, MELISSA N (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:N
Last Name:GERVINSKI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:310 PENN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2044
Mailing Address - Country:US
Mailing Address - Phone:814-695-2923
Mailing Address - Fax:814-695-2924
Practice Address - Street 1:5930 6TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1115
Practice Address - Country:US
Practice Address - Phone:814-515-1049
Practice Address - Fax:814-515-4050
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT015691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist