Individual
CHARLIE PAUL MELLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
98 BANGOR ST STE A, HOULTON, ME 04730-1603
(207) 521-0200
(207) 521-0210
Mailing address
98 BANGOR ST STE A, HOULTON, ME 04730-1603
(207) 521-0200
(207) 521-0210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA6970
ME
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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