Individual
ALISHA F MELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1185 CORPORATE CENTER DR, SUITE 155, OCONOMOWOC, WI 53066-4887
(262) 567-5385
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5365-26
WI
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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