Individual
MRS. MELISSA L MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Mailing address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1194093
TX
225100000X
Physical Therapist
Primary
2175
AK
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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