Individual
ELIZABETH CRANE MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
807 N JEFFERSON ST, MILWAUKEE, WI 53202-8150
(414) 224-8219
(414) 224-8246
Mailing address
807 N JEFFERSON ST, MILWAUKEE, WI 53202-8150
(414) 224-8219
(414) 224-8246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12407-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912346636
—
WI
Enumeration date
06/15/2013
Last updated
06/06/2019
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