Individual
MELISSA MARIE MOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
W6321 DOGWOOD LN, MENASHA, WI 54952-8109
(715) 927-2660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1516-19
WI
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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