DONNA MELLEN

FREEPORT, IL
NPI1851562011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160001269)
Enumeration Date2008-03-17
Last Update Date2008-03-17
Business Address
-- DONNA MELLEN PTA
1045 W STEPHENSON ST
FREEPORT, IL 61032-4864
Phone number: 815-599-6000
Mailing Address
-- DONNA MELLEN PTA
1045 W STEPHENSON ST PO BOX 857
FREEPORT, IL 61032-4864
Phone number: 815-599-7958
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