Individual
MS. MELANIE LYNNE FAYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11010 DAVID ST, GULFPORT, MS 39503-3481
(228) 832-8327
(228) 832-8328
Mailing address
PO BOX 7066, GULFPORT, MS 39506-7066
(228) 832-8327
(228) 832-8328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3357
MS
Other
Enumeration date
04/18/2007
Last updated
08/22/2024
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