MELINDA BASHAM

SUMMIT, MS
NPI1134585466
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA 5055)
Enumeration Date2015-12-31
Last Update Date2015-12-31
Business Address
-- MELINDA BASHAM
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- MELINDA BASHAM
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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