Individual
CYNTHIA ANN MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-1141
Mailing address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-1141
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1156460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166030001
—
TX
01
—
8T2869
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/05/2006
Last updated
06/08/2010
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