MELISSA ANN TIECK-O'CONNOR

SIOUX CITY, IA
NPI1790917334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  636)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: IA  00649)
225200000X Physical Therapy Assistant
(Licence: SD  0134)
Enumeration Date2009-08-16
Last Update Date2009-08-16
Business Address
-- MELISSA ANN TIECK-O'CONNOR PTA
2802 CASTLES GATE DR
SIOUX CITY, IA 51106-7203
Phone number: 712-266-0707
Mailing Address
-- MELISSA ANN TIECK-O'CONNOR PTA
3308 ORLEANS AVE
SIOUX CITY, IA 51106-2351
Phone number: 712-266-0634