Individual
MELISSA LYNN SHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1071 PEMBERTON HILL RD, APEX, NC 27502-0080
(919) 656-8734
Mailing address
59 DUDLEY CIR, DURHAM, NC 27703-5823
(919) 641-8559
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4882
NC
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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