Provider Demographics
NPI:1891004024
Name:DARDANI, MELANIE KATE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:KATE
Last Name:DARDANI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:KATE
Other - Last Name:DI LEONARDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:19 ASHLEY CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9547
Mailing Address - Country:US
Mailing Address - Phone:215-480-0564
Mailing Address - Fax:
Practice Address - Street 1:19 ASHLEY CROSSING DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9547
Practice Address - Country:US
Practice Address - Phone:215-480-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1195980225100000X
FL25508225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist