Individual
MELODY JAEL MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4403 FOREST HILL AVE, RICHMOND, VA 23225-3241
(804) 231-0231
Mailing address
11415 CREEKSIDE CT, RICHMOND, VA 23238-4042
(804) 304-0986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604991
VA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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