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1376156117
MELISSA MASSINGALE
MARIETTA, GA
NPI
1376156117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004162)
Enumeration Date
2020-08-30
Last Update Date
2020-08-30
Business Address
MELISSA MASSINGALE
965 PIEDMONT RD NE STE 200
MARIETTA, GA 30066-5493
Phone number: 770-575-2212
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Mailing Address
MELISSA MASSINGALE
2011 SHADOW BLUFF CT NE
MARIETTA, GA 30062-2564
Phone number: 678-516-1368
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