Individual
MELINDA KAY GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
686 POPLAR DR, MOUNT JULIET, TN 37122-4106
(909) 376-9353
Mailing address
686 POPLAR DR, MOUNT JULIET, TN 37122-4106
(909) 376-9353
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9273
TN
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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