Individual
MELISSA ANNE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-1447
(740) 420-8243
Mailing address
40 HAWTHORNE DR, ASHVILLE, OH 43103-9374
(740) 497-8373
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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