Individual
MS. MELANIE LODDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
24120 W FORT BEGGS DR, PLAINFIELD, IL 60544-1833
(815) 577-1179
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002539
IL
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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