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Individual
MRS. MELISSA M PEABODY
Active
Individual
MRS. MELISSA M PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., CHT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2004018750
MO
225100000X
Physical Therapist
Primary
40QA00650800
NJ
Other
Enumeration date
08/17/2006
Last updated
10/18/2012
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