Provider Demographics
NPI:1346574977
Name:MUZRALL, MELISSA H (PT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:H
Last Name:MUZRALL
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 1:13B RANGERS DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3536
Mailing Address - Country:US
Mailing Address - Phone:603-891-0101
Mailing Address - Fax:
Practice Address - Street 1:13B RANGERS DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3536
Practice Address - Country:US
Practice Address - Phone:603-891-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15397225100000X
NH3480225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist