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Individual

MRS. MELISSA D BECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7600 AIRWAYS BLVD STE A, SUITE 2, SOUTHAVEN, MS 38671-5138
(662) 536-4096
(662) 536-4099
Mailing address
7600 AIRWAYS BLVD STE A, SUITE 2, SOUTHAVEN, MS 38671-5138
(662) 536-4096
(662) 536-4099

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT4650
MS

Other

Enumeration date
07/14/2008
Last updated
01/08/2010
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