Individual
MELANIE MIRANDA CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1124 N PARK ST STE M, CARROLLTON, GA 30117-2282
(770) 834-0873
(770) 834-6118
Mailing address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
(770) 834-6118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015819
GA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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