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Individual

MELANIE M EGGEBRECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
187 S LAKE AVENUE, PHILLIPS, WI 54555
(715) 339-6140
(888) 412-1366
Mailing address
PO BOX 206, PHILLIPS, WI 54555
(715) 339-6140
(888) 412-1366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9889
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40384000
WI
Enumeration date
10/11/2005
Last updated
10/12/2022
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