Individual
MELODY K RATTANAPOTE-MALANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1400 MAIN ST., STE 1-2, SOCORRO, NM 87801-3914
(058) 364-8995
(505) 214-5030
Mailing address
PO BOX 516626, LOS ANGELES, CA 90051-0600
(505) 836-4899
(505) 214-5030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4590
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/20/2014
Last updated
10/17/2018
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