Individual
MRS. MELODY RENEE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3006 MCNIEL AVE, WICHITA FALLS, TX 76309-4954
(940) 689-9567
Mailing address
3006 MCNIEL AVE, WICHITA FALLS, TX 76309-4954
(940) 689-9567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2042414
TX
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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