Lori S Melquist

NPI #1073948139 in Jamestown, New York

Provider Information

NPI Number: 1073948139
Entity Type: Individual
Name: Lori S Melquist
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 9, 2013
Last Updated: Sep 9, 2013

Practice Location

Address: 774 FAIRMOUNT AVE
City: Jamestown
State: New York
ZIP Code: 14701-2609
Phone: (716) 665-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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