Individual
CHRISTINA MICHELLE MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4501 BROADWAY, OAKLAND, CA 94611-4615
(510) 752-6295
Mailing address
92 MADERA CT, DANVILLE, CA 94526-3031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26436
CA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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