Individual
CHARITY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
515 GREENE DR, GREENVILLE, KY 42345-1409
(270) 338-5400
Mailing address
1646 STATE ROUTE 176, GREENVILLE, KY 42345-4122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005485
KY
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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