Individual
MRS. MELISSA CLARE ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7300 WASHINGTON AVE, RACINE, WI 53406-6525
(262) 321-6000
(262) 321-6010
Mailing address
7300 WASHINGTON AVE, RACINE, WI 53406-6525
(262) 321-6000
(262) 321-6010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1658019
WI
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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