Individual
MS. MELISSA MARIE LEICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3415 N 127TH ST, BROOKFIELD, WI 53005-3117
(262) 781-8144
(262) 781-8552
Mailing address
3415 N 127TH ST, BROOKFIELD, WI 53005-3117
(262) 781-8144
(262) 781-8552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11642-024
WI
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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