Individual
MRS. MELISSA ANNE CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
1301 PROMONTORY DR, LAKE GENEVA, WI 53147-1081
(262) 248-1794
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5391-024
WI
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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