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Larisa V Melnikova, PTA

Physical Therapy Assistant in Austin, TX. Individual provider (NPI-1).

NPI number1982184131
StatusActive
Last updated in NPPESAug 17, 2018

Details

NPI
1982184131
Entity type
Individual (NPI-1)
Name
Larisa V Melnikova
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 17, 2018
Last updated
Aug 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2079376TXYes

Practice location

2122 Park Bend Dr
Austin, TX 78758-5352

Phone 512-836-9777

Mailing address

2122 Park Bend Dr
Austin, TX 78758-5352

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