Most Relevant Information
Provider Data
| NPI Number: | 1003241316 |
| Provider Name: | DARIEN ANTOINE MELLERSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 24625 |
Most Important Dates
| Enumeration Date: | 09/05/2013 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
7556 TEAGUE RD STE 400
HANOVER
MD
210761213
Practice Location Phone/Fax
| Phone: | 4107994994 |
| Fax: | 4107991044 |
Provider Mailing Location
7556 TEAGUE RD STE 400
HANOVER
MD
210761213
Provider Mailing Phone/Fax
| Phone: | 4107994994 |
| Fax: | 4107991044 |