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Individual

MRS. MELANIE POGGENPOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
200 W 2ND ST, MORRISONVILLE, IL 62546-6809
(217) 691-9840
Mailing address
200 W 2ND ST, MORRISONVILLE, IL 62546-6809
(217) 691-9840

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006994
IL

Other

Enumeration date
03/15/2021
Last updated
03/26/2021
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