Individual
MADISON LIZABETH MELICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 RECREATIONAL BUILDING, STATE COLLEGE, PA 16801-4247
(484) 753-1724
Mailing address
209 GLENROSE RD, COATESVILLE, PA 19320-4247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2021
Last updated
01/31/2021
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