Individual
MELISSA TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1107 S CLAY ST, ENNIS, TX 75119-6414
(972) 875-9277
(972) 875-9385
Mailing address
101 MAPLE ST, PETAL, MS 39465-3811
(601) 319-2613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064843
TX
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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