Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2076160 | TX |
N | 225200000X | Physical Therapy Assistant | 2306602905 | VA |
NPI | 1003122300 |
---|---|
Provider Name | Mrs. Melanie E Toth |
First Address | College Station, TX 77845-8199 |
Second Address | College Station, TX 77845-8199 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2010 |
Last Update Date | 24/08/2010 |