Individual
MELISSA SMITH BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8161 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 449-3685
(843) 449-2746
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5930
SC
Other
Enumeration date
10/02/2006
Last updated
07/10/2012
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