Individual
MELINDA BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 S HERLONG AVE, ROCK HILL, SC 29732-1159
(803) 366-4415
Mailing address
4603 WATERFORD KNOLL DR, APT 1821, CHARLOTTE, NC 28226-7084
(252) 702-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3518
SC
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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