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1194181750
MELISSA SUZANNE WILLIAMS
HENDERSON, KY
NPI
1194181750
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Former Name
MELISSA SUZANNE EZELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A02954)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- MELISSA SUZANNE WILLIAMS PTA
702 BARRETT BLVD SUITE B
HENDERSON, KY 42420-4931
Phone number: 270-631-4100
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Mailing Address
-- MELISSA SUZANNE WILLIAMS PTA
PO BOX 5629
EVANSVILLE, IN 47716-5629
Phone number: 812-759-7451
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