Individual
MADDISEN MELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 WALL ST W STE 200, LYNDHURST, NJ 07071-3615
(201) 531-2500
Mailing address
23 MINA DR, WAPPINGERS FALLS, NY 12590-4440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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