Individual
MELISSA ANN BAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
310 PAPER TRAIL WAY, SUITE 302, CANTON, GA 30115-5203
(770) 345-2804
(678) 827-0927
Mailing address
4545 ASHMORE CIR NE, MARIETTA, GA 30066-1615
(770) 630-1773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009687
GA
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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