Individual
MRS. ANGELINA FIDELINO MELOCOTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2625 KIPLING DR, SPRINGFIELD, IL 62711-6232
(217) 220-2861
(217) 698-8287
Mailing address
2625 KIPLING DR, SPRINGFIELD, IL 62711-6232
(217) 220-2861
(217) 698-8287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070008877
IL
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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