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Individual
MELISSA SAXSMA
Active
Individual
MELISSA SAXSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
070010436
IL
225100000X
Physical Therapist
Primary
070010436
IL
Other
Enumeration date
11/16/2016
Last updated
07/31/2018
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