Individual
MELANIE ANN GORJUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WOOD ST, PAINESVILLE, OH 44077-3332
(440) 352-0788
Mailing address
60 WOOD ST, PAINESVILLE, OH 44077-3332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA004836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA004836
SABER HEALTHCARE THERAPY
OH
Enumeration date
12/29/2022
Last updated
12/29/2022
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