Clinton Melliza Magno

NPI #1487369229 in Beloit, Wisconsin

Provider Information

NPI Number: 1487369229
Entity Type: Individual
Name: Clinton Melliza Magno
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 17, 2023
Last Updated: Jan 17, 2023

Practice Location

Address: 2121 PIONEER DR
City: Beloit
State: Wisconsin
ZIP Code: 53511-3025
Phone: (608) 365-9526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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