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Donna Mellen, PTA

Physical Therapy Assistant in Freeport, IL. Individual provider (NPI-1).

NPI number1851562011
StatusActive
Last updated in NPPESMar 17, 2008

Details

NPI
1851562011
Entity type
Individual (NPI-1)
Name
Donna Mellen
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 17, 2008
Last updated
Mar 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160001269ILYes

Practice location

1045 W Stephenson St
Freeport, IL 61032-4864

Phone 815-599-6000

Mailing address

1045 W Stephenson St
Po Box 857
Freeport, IL 61032-4864

Phone 815-599-7958

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