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Individual
MELISSA ANNE DENNIS
Active
Individual
MELISSA ANNE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09319
OH
2255A2300X
Athletic Trainer
Primary
003547
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA.09319
PHYSICAL THERAPY ASSISTANT
OH
Enumeration date
12/12/2014
Last updated
12/12/2014
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