MELINA LEA MILLER

MYRTLE BEACH, SC
NPI1689981870
Former NameMELINA LEA FRESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2474)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: NJ  40QB00245900)
Enumeration Date2010-09-09
Last Update Date2010-12-30
Business Address
MELINA LEA MILLER PTA
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579-8275
Phone number: 843-903-8958
Mailing Address
MELINA LEA MILLER PTA
PO BOX 70940
MYRTLE BEACH, SC 29572-0034
Phone number: 609-306-9429