Individual
MELODY RIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
315 BURTON RD STE 107, NEW LONDON, WI 54961-1176
(920) 982-3670
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(920) 257-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4103-19
WI
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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