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Individual

MELVIN SAM

Active
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Individual

MELVIN SAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211586
VA
225100000X
Physical Therapist
Primary
PT013481
GA
225X00000X
Occupational Therapist
—
—

Other

Enumeration date
08/25/2015
Last updated
01/29/2019
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