Individual
MELODY RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1423 MAGNOLIA ST APT D, GULFPORT, MS 39507-3569
(228) 256-6015
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 777-6236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
51916
AL
225100000X
Physical Therapist
Primary
PT7716
MS
Other
Enumeration date
08/31/2015
Last updated
05/22/2024
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