Individual
DUANE D MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10710 CHARTER DR, COLUMBIA, MD 21044-3128
(410) 644-1880
(410) 730-1617
Mailing address
10710 CHARTER DR, COLUMBIA, MD 21044-3128
(410) 644-1880
(410) 730-1617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27616
MD
225200000X
Physical Therapy Assistant
PTA002429
GA
Other
Enumeration date
12/21/2007
Last updated
08/27/2019
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