Individual
MELINDA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTLP
Contact information
Practice address
9618 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1563
(714) 530-3115
Mailing address
2140 LOGGIA, NEWPORT BEACH, CA 92660-9041
(949) 280-1888
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
10095
CA
Other
Enumeration date
01/27/2016
Last updated
03/07/2018
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