Individual
MELISSA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
405 COLLINS ST, CLAUDE, TX 79019
(866) 531-1033
Mailing address
14704 JONATHAN ST, AMARILLO, TX 79118-2035
(806) 670-2655
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2087773
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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