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Individual
MRS. MELISSA ANN LAFOLLETTE
Active
Individual
MRS. MELISSA ANN LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.009877
OH
225700000X
Massage Therapist
33.013454
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815452
—
OH
05
—
2693036
—
OH
Enumeration date
08/04/2005
Last updated
05/13/2010
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