JUSTIN DEREK MELLOTT

BERKELEY SPRINGS, WV
NPI1972261139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PT002131)
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
JUSTIN DEREK MELLOTT
23 FITNESS LN
BERKELEY SPRINGS, WV 25411-7080
Phone number: 304-258-1300
Mailing Address
JUSTIN DEREK MELLOTT
13808 JENNY LN NE
LITTLE ORLEANS, MD 21766-1034
Phone number: 301-697-4004
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