Individual
MELANIE CALANNO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13953 PANAY WAY, C119, MARINA DEL REY, CA 90292-6158
(310) 574-1834
Mailing address
13953 PANAY WAY, C119, MARINA DEL REY, CA 90292-6158
(310) 574-1834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8439
CA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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