Provider Demographics
NPI:1528283264
Name:NATOLI, MELANIE (PT)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:NATOLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W GERRARD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4509
Mailing Address - Country:US
Mailing Address - Phone:732-991-6580
Mailing Address - Fax:540-536-8118
Practice Address - Street 1:300 W CORK ST
Practice Address - Street 2:WINCHESTER REHAB CENTER - CONTRACT SERVICES
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-536-8090
Practice Address - Fax:540-536-8118
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist