Individual
MELIA NICOLE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3455 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052-3918
(678) 635-8280
(678) 635-8285
Mailing address
6401 ELDORADO PKWY, STE 337, MCKINNEY, TX 75070-6520
(817) 381-5177
(817) 383-0049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1326817
TX
Other
Enumeration date
09/06/2019
Last updated
05/11/2023
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