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NPI Profile for MYRTZ MELODY R SEVILLA in ROCKAWAY PARK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1386264224 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/21/2020 | |
| Last updated | 04/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MYRTZ MELODY R SEVILLA
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MYRTZ MELODY R SEVILLA