Individual
MELODY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
77 N AIRLITE, ELGIN, IL 60123
(847) 695-5904
(847) 695-5958
Mailing address
77 N AIRLITE, ELGIN, IL 60123
(847) 695-5904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003922
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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