Individual
MELISSA MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5575
Mailing address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13771-24
WI
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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