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Individual

MELISSA K AHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
1800 APPLETON RD, MENASHA, WI 54952-3727
(920) 968-6234
(920) 725-2572
Mailing address
1707 S NICOLET RD APT 2, APPLETON, WI 54914-7542
(920) 730-9197

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10018-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10018-024
STATE LICENSE
WI
05
40384200
WI
Enumeration date
02/15/2007
Last updated
12/05/2008
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