NPI 1538052527
Charlie Paul Mellick, PTA
Practice location
- Address
- 98 Bangor St STE a, Houlton, ME 04730-1603
- Phone
- (207) 521-0200
- Fax
- (207) 521-0210
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1538052527
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 May 2025
- Record last updated
- 30 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.