Individual
MR. ERIC ANDREW MELODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
Mailing address
375 HILLTOP AVE, KEYSER, WV 26726-2627
(240) 743-9986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60169684
WA
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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