Individual
MRS. MELANIE S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
201 E LAYFAIR DR, SUITE 125, FLOWOOD, MS 39232-7604
(601) 420-6867
(601) 664-1006
Mailing address
201 E LAYFAIR DR, SUITE 125, FLOWOOD, MS 39232-7604
(601) 420-6867
(601) 664-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1480
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08935713
—
MS
01
—
650012643
MEDICARE RAILROAD
MS
Enumeration date
06/17/2005
Last updated
02/18/2009
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