Individual
MELISSA SHUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
(540) 982-8667
Mailing address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601410
VA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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