Individual
MELISSA MOLITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8520 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4604
(414) 607-4120
Mailing address
8520 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4604
(414) 607-4120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1653-19
WI
Other
Enumeration date
02/06/2011
Last updated
02/06/2011
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