Individual
JONATHAN MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 BLUEFIELD ST, HOPEWELL, VA 23860-3518
(804) 720-7005
Mailing address
2900 BLUEFIELD ST, HOPEWELL, VA 23860-3518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
010082
NY
225200000X
Physical Therapy Assistant
2306603952
VA
225200000X
Physical Therapy Assistant
Primary
A4443
MD
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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