Individual
MELISSA GAYLE STAMPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1251 COLLEGE AVE, ALTON, IL 62002-6735
(618) 463-7330
Mailing address
1608 UNION AVE, GRANITE CITY, IL 62040-2448
(618) 567-2291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009275
IL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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