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Individual
MELISSA CLAUDETTE SMITH
Active
Individual
MELISSA CLAUDETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307341
CA
225100000X
Physical Therapist
P23077
NC
225100000X
Physical Therapist
PT032090
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P23077
PT LICENSE
NC
Enumeration date
03/05/2024
Last updated
12/04/2024
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