Individual
MELISSA BRANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 919-4647
Mailing address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/06/2013
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