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Individual

MELISSA MASSINGALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
965 PIEDMONT RD NE STE 200, MARIETTA, GA 30066-5493
(770) 575-2212
Mailing address
2011 SHADOW BLUFF CT NE, MARIETTA, GA 30062-2564
(678) 516-1368

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004162
GA

Other

Enumeration date
08/30/2020
Last updated
08/30/2020
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