Individual
MELISSA MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
15233 EVERLY CT, ALEDO, TX 76008-1397
(817) 929-4151
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1185279
TX
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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