Individual
MELISSA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9150 E 109TH AVE STE D, CROWN POINT, IN 46307-7687
(219) 988-1332
Mailing address
9150 E 109TH AVE STE D, CROWN POINT, IN 46307-7687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013413A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034228
—
IN
Enumeration date
06/13/2019
Last updated
08/27/2024
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