Individual
MELINA LEA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8958
Mailing address
PO BOX 70940, MYRTLE BEACH, SC 29572-0034
(609) 306-9429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2474
SC
225200000X
Physical Therapy Assistant
40QB00245900
NJ
Other
Enumeration date
09/09/2010
Last updated
12/30/2010
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