Individual
MELISSA ANNE ELDRIDGE ASHSHAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5136
(703) 447-5721
Mailing address
4679 SAINT PAUL RD, WOODLAWN, TN 37191-9134
(931) 542-6944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2409
TN
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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