Individual
CARISSA MELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 258-1053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12651-24
WI
Other
Enumeration date
07/28/2014
Last updated
02/22/2023
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