Individual
MELISSA MARIE LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2200 LIBRARY CIR, GRAND FORKS, ND 58201-6326
(701) 757-2155
Mailing address
2200 LIBRARY CIR, GRAND FORKS, ND 58201-6326
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1916
ND
Other
Enumeration date
05/13/2015
Last updated
06/30/2015
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