Individual
MELISSA ANN WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
Mailing address
420 OLD WAITSBORO RD, BRONSTON, KY 42518-8561
(606) 561-7652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00418
KY
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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