Provider Demographics
NPI:1184895328
Name:ADAMS, MELISSA JANEL DOSCINSKI (DPT)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JANEL DOSCINSKI
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:999 MINARD HILL RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:VT
Mailing Address - Zip Code:05046-5521
Mailing Address - Country:US
Mailing Address - Phone:617-650-8205
Mailing Address - Fax:
Practice Address - Street 1:2501 PARKERS LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3209
Practice Address - Country:US
Practice Address - Phone:703-664-7498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-16
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203521225100000X
MA13076225100000X
NCP17244225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist