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MR. PETER DAVID MELLO PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1285915546

Individual Registrant:
MR. PETER DAVID MELLO PT
Gender: M
Sole Proprietor

Location and contact information for practice:
101 DANIEL ST  CLAXTON, GA 30417-1615 US
Tel: 912-334-5073  Fax: 912-334-5074

Contact information for business:
101 DANIEL ST  CLAXTON, GA 30417-1615 US
Tel: 912-334-5073  Fax: 912-334-5074

Registration Information:
NPI: 1285915546
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
GAPT012175

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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