Individual
MELANIE FRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 NORTHVIEW AVE, SHOEMAKERSVILLE, PA 19555-9417
(610) 562-8464
Mailing address
71 NORTHVIEW AVE, SHOEMAKERSVILLE, PA 19555-9417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002111L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP002111L
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
10/04/2008
Last updated
10/04/2008
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