Individual
MS. MELANIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8300
Mailing address
974 S MAIN ST, SUMTER, SC 29150-6844
(803) 983-9485
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3247
SC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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