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1225275969
MELODY T MATTOX
WEST COLUMBIA, SC
NPI
1225275969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 817)
Enumeration Date
2009-01-16
Last Update Date
2009-01-16
Business Address
Mrs. MELODY T MATTOX PTA
2705 LEAPHART RD
WEST COLUMBIA, SC 29169-3335
Phone number: 803-926-5119
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Mailing Address
Mrs. MELODY T MATTOX PTA
1053 CENTER ST
WEST COLUMBIA, SC 29169-6749
Phone number:
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