Individual provider · Type 1 NPI
Melissa Mirza, PT, DPT
Pediatric Physical Therapist · Brockton, MA
Practice location
801 Pleasant St
Brockton, MA 02301-3052
Mailing address
134 Burkhall St Apt 201
Weymouth, MA 02190-3572
Other practice locations
- 130 Industrial Park Rd, Plymouth, MA 02360-7243 · (774) 608-7253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 25766 (MA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1447927306
Melissa Mirza, PT, DPT's National Provider Identifier is 1447927306, issued on Aug 26, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Brockton, MA. The record was last updated on May 25, 2022.