Individual
MELISSA ANN TIECK-O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2802 CASTLES GATE DR, SIOUX CITY, IA 51106-7203
(712) 266-0707
Mailing address
3308 ORLEANS AVE, SIOUX CITY, IA 51106-2351
(712) 266-0634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
00649
IA
225200000X
Physical Therapy Assistant
0134
SD
225200000X
Physical Therapy Assistant
Primary
636
NE
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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