Individual
MELISSA ROSE MELNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1640 N WELLS ST UNIT 103, CHICAGO, IL 60614-6006
(312) 642-4300
Mailing address
1640 N WELLS ST UNIT 103, CHICAGO, IL 60614-6006
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012086
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056.012086
NBCOT
IL
Enumeration date
08/30/2017
Last updated
08/30/2017
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