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Individual

MELANIE MICHELLE FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT,DPT

Contact information

Practice address
4350 SIGMA RD STE 100, DALLAS, TX 75244-4421
(972) 991-6777
Mailing address
4350 SIGMA RD STE 100, DALLAS, TX 75244-4421
(972) 991-6777

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1198683
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
751189353
TX
Enumeration date
12/19/2013
Last updated
12/19/2013
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