Provider Demographics
NPI:1730102534
Name:TARQUINIO, MELINDA (PT)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:TARQUINIO
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 1:5996 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1367
Mailing Address - Country:US
Mailing Address - Phone:412-788-6630
Mailing Address - Fax:412-788-6632
Practice Address - Street 1:5996 STEUBENVILLE PIKE STE F
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1367
Practice Address - Country:US
Practice Address - Phone:412-788-6630
Practice Address - Fax:412-788-6632
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012198L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist