Individual
MELISSA LYNNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1401 E 100TH ST, BLOOMINGTON, MN 55425-2615
(952) 888-7751
Mailing address
5042 GLADSTONE AVE, MINNEAPOLIS, MN 55419-1309
(612) 799-4315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105860
MN
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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