Individual
CONNIE LYNN MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 DANUBE AVE, SHAKOPEE, MN 55379-4637
(612) 272-0175
Mailing address
1160 DANUBE AVE, SHAKOPEE, MN 55379-4637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A765
MN
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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