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1073558961
MELISSA L TENNANT
FREDERICK, MD
NPI
1073558961
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Former Name
MELISSA L WALDRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 8644)
Enumeration Date
2006-06-17
Last Update Date
2023-10-11
Business Address
Mrs. MELISSA L TENNANT P.T.
1434 PORTER ST
FREDERICK, MD 21702-9254
Phone number: 301-619-8607
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Mailing Address
Mrs. MELISSA L TENNANT P.T.
1270 MONTEVUE LANE (AREA B)
FORT DETRICK, MD 21702
Phone number: 301-619-8607
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