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Individual
DR. MELISSA RABIDEAU
Active
Individual
DR. MELISSA RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
5501017204
MI
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
7501011843
MI
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F271510
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/04/2019
Last updated
02/21/2020
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