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Individual

MELISSA MARIE NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS.OTR/L

Contact information

Practice address
1441 CLIFTON RD NE, ATLANTA, GA 30322-1004
(404) 712-5512
Mailing address
701 HIGHLAND AVE NE, 1642, ATLANTA, GA 30312-1478
(440) 343-7138

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004279
GA
225X00000X
Occupational Therapist
006373
OH
225X00000X
Occupational Therapist
11924
FL

Other

Enumeration date
02/08/2008
Last updated
02/08/2008
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