MRS. Lucein Surein Melloy Ross, M.P.T.

NPI #1942491485 in Mulvane, Kansas

Provider Information

NPI Number: 1942491485
Entity Type: Individual
Name: MRS. Lucein Surein Melloy Ross, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Aug 8, 2007
Last Updated: Aug 8, 2007

Practice Location

Address: 116 S CENTRAL AVE
City: Mulvane
State: Kansas
ZIP Code: 67110-1718
Phone: (316) 777-0977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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