Individual
MRS. MELISSA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
1005 6TH ST, LANGDON, ND 58249-2303
(573) 576-8043
Mailing address
1005 6TH ST, LANGDON, ND 58249-2303
(573) 576-8043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1462
ND
Other
Enumeration date
07/16/2014
Last updated
04/26/2016
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