National Provider Identifier
Melissa Lynn Virgilio, PTA
Melissa Lynn Virgilio, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in North Tonawanda, NY and a listed phone number of (716) 692-6388.
Profile Overview
- NPI
- 1780146613
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 01, 2019
- Last Updated
- April 01, 2019
Practice Location
- 105 Main St Ste 2
- North Tonawanda, NY 14120-5313
Phone: (716) 692-6388
Mailing Address
- 1328 Moll St
- North Tonawanda, NY 14120-2230
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1780146613
- Entity Type
- Individual
- Last Name
- Virgilio
- First Name
- Melissa
- Middle Name
- Lynn
- Credential
- PTA
- Mailing Street Address
- 1328 Moll St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2230
- Mailing Country
- US
- Mailing Phone
- (716) 743-8077
- Practice Street Address
- 105 Main St Ste 2
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-5313
- Practice Country
- US
- Practice Phone
- (716) 692-6388
- Practice Fax
- (716) 692-1227
- Enumeration Date
- April 01, 2019
- Last Updated
- April 01, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)