| Melissa A Brockman, PT | |
|
1510 Fremont St, Algoma, WI 54201-1948 | |
| (920) 487-3676 | |
| Not Available |
| Full Name | Melissa A Brockman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1510 Fremont St, Algoma, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083624712 | NPI | - | NPPES |
| 5171024 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5171024 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Brockman, PT 1510 Fremont St, Algoma, WI 54201-1948 Ph: (920) 487-3676 | Melissa A Brockman, PT 1510 Fremont St, Algoma, WI 54201-1948 Ph: (920) 487-3676 |
Nicholas Wasilkoff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Fremont St, Algoma, WI 54201 Phone: 920-487-9888 | |
William F Bluett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 Fremont St, Algoma, WI 54201 Phone: 920-487-9888 |