Individual
MELISSA JEAN VAN OMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
45 N WHITTAKER ST STE 204, NEW BUFFALO, MI 49117-1173
(269) 235-9821
(269) 359-3735
Mailing address
9676 BINGHAM ST, ZEELAND, MI 49464-9464
(269) 359-3735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.014673
IL
225X00000X
Occupational Therapist
Primary
5201011333
MI
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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