Provider Demographics
NPI:1720787757
Name:ARQUILLANO, MELAH JAYNE LABUCA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:MELAH JAYNE
Middle Name:LABUCA
Last Name:ARQUILLANO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:MELAH JAYNE
Other - Middle Name:MABALATAN
Other - Last Name:LABUCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:10 GRANT STREET EXT
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2020
Mailing Address - Country:US
Mailing Address - Phone:508-498-2647
Mailing Address - Fax:
Practice Address - Street 1:SYNCHRONY REHABILITATION
Practice Address - Street 2:2701 CHESTNUT STATION COURT
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299
Practice Address - Country:US
Practice Address - Phone:800-335-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist