Individual
MELISSA SHOLOMICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 BIRCH ST, JUNCTION CITY, OR 97448-1524
(541) 998-2395
Mailing address
30 COVENTRY LN, NAUGATUCK, CT 06770-1544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001096
CT
225200000X
Physical Therapy Assistant
Primary
09465
OR
225200000X
Physical Therapy Assistant
0977
WY
Other
Enumeration date
06/17/2011
Last updated
08/31/2021
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