Individual
MELISSA R MALINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 E LIONS CLUB DR, ROLLA, MO 65401-4356
(573) 375-9032
Mailing address
110 CASTLEBERRY CIR, FORT LEONARD WOOD, MO 65473-8038
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018033720
MO
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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