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1194374785
MELIA NICOLE WHITAKER
LOGANVILLE, GA
NPI
1194374785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1326817)
Enumeration Date
2019-09-06
Last Update Date
2023-05-11
Business Address
MELIA NICOLE WHITAKER PT, DPT
3455 HIGHWAY 81 SOUTH
LOGANVILLE, GA 30052-3918
Phone number: 678-635-8280
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Mailing Address
MELIA NICOLE WHITAKER PT, DPT
6401 ELDORADO PKWY STE 337
MCKINNEY, TX 75070-6520
Phone number: 817-381-5177
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