Individual
MS. JUDITH ANN MESSOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
(503) 588-6577
Mailing address
1857 RYE LN NW, SALEM, OR 97304-1308
(502) 585-0609
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7916
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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