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Organization
MELTON PHYSICAL THERAPY
Active
Organization
MELTON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R MELTON PHYSICAL THERAPIST (PRESIDENT/OWNER)
(231) 258-6789
Entity
Organization
Contact information
Practice address
1050 S OTSEGO AVE, GAYLORD, MI 49735-9171
(989) 731-6781
(989) 705-8448
Mailing address
1050 S OTSEGO AVE, GAYLORD, MI 49735-9171
(989) 731-6781
(989) 705-8448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501009879
MI
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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