Individual
MELISSA STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(315) 848-3351
(315) 848-2440
Mailing address
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690-3143
(315) 848-3351
(315) 848-2440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004074-1
NY
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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