MRS. Melissa Diane Martin, PT

NPI #1578565388 in Waterford, Wisconsin

Provider Information

NPI Number: 1578565388
Entity Type: Individual
Name: MRS. Melissa Diane Martin, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 11, 2005
Last Updated: Nov 21, 2024

Practice Location

Address: 315 N MILWAUKEE ST
City: Waterford
State: Wisconsin
ZIP Code: 53185-4432
Phone: (262) 514-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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