Individual
MISS MELISSA JOANN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
3201 KLEITZ RD, EVANSVILLE, IN 47720-7607
(812) 319-5781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002363A
IN
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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