Individual provider · Type 1 NPI

Melissa Marie Willis, MSPT

Pediatric Physical Therapist · Ballston Lake, NY

NPI number 1932352689 Active

Practice location

309 Ruhle Rd S
Ballston Lake, NY 12019-1031

Fax (518) 899-2956

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X018504-1 (NY)

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 1932352689

Melissa Marie Willis, MSPT's National Provider Identifier is 1932352689, issued on Oct 28, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Ballston Lake, NY. The record was last updated on Oct 28, 2008.