Individual
MS. MELANIE ROSE MASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 HERITAGE BLVD, WEST SALEM, WI 54669-9404
(608) 786-4989
Mailing address
582 BRAUND ST APT 5, ONALASKA, WI 54650-8559
(920) 838-3925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14590-24
WI
Other
Enumeration date
05/31/2019
Last updated
10/29/2019
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