Provider Demographics
NPI:1992957005
Name:BURNS, MELANIE JEAN (PT, DPT, PCS)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:JEAN
Last Name:BURNS
Suffix:
Gender:F
Credentials:PT, DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6214
Mailing Address - Country:US
Mailing Address - Phone:845-264-9285
Mailing Address - Fax:
Practice Address - Street 1:42 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-6214
Practice Address - Country:US
Practice Address - Phone:845-264-9285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018930-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics