Individual
MS. MELISSA JEAN KUTAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
825 W FAIRWINDS ST, HALLETTSVILLE, TX 77964-3531
(361) 798-4885
Mailing address
825 W FAIRWINDS ST, HALLETTSVILLE, TX 77964-3531
(361) 798-4885
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2033512
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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