Provider Demographics
NPI:1457138703
Name:DAVIN, MELISSA HUGAR (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:HUGAR
Last Name:DAVIN
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 1:6350 MITCH HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3136
Mailing Address - Country:US
Mailing Address - Phone:412-337-1255
Mailing Address - Fax:
Practice Address - Street 1:1001 HASTINGS PARK DR
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1367
Practice Address - Country:US
Practice Address - Phone:412-337-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007751L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist