Provider Demographics
NPI:1184096398
Name:GREBLUNAS, MELISSA MARIA (MPT)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MARIA
Last Name:GREBLUNAS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 SUNRISE CT
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6464
Mailing Address - Country:US
Mailing Address - Phone:215-913-7038
Mailing Address - Fax:
Practice Address - Street 1:1690 SUMNEYTOWN PIKE
Practice Address - Street 2:SUITE 110
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4882
Practice Address - Country:US
Practice Address - Phone:215-721-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA009826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist