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CASANDRA MELTON

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1922313360

Individual Registrant:
 CASANDRA  MELTON 
Gender: F
Sole Proprietor

Location and contact information for practice:
616 ARMORY ST  GREENSBORO, AL 36744-2110 US
Tel: 334-624-3360  Fax: --

Contact information for business:
4109 HIGHWAY 98 W  SUMMIT, MS 39666-9132 US
Tel: --  Fax: --

Registration Information:
NPI: 1922313360
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
AL4767

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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