Individual
MELODY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1704 E AMBER GLENN ROAD, URBANA, IL 61802
(217) 344-4607
Mailing address
509 E SALE ST, TUSCOLA, IL 61953-1529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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