Individual
MRS. MELINDA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2197 ROUTE 20, EAST DURHAM, NY 12423-1541
(518) 239-6934
Mailing address
2197 ROUTE 20, EAST DURHAM, NY 12423-1541
(518) 239-6934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006418-1
NY
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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