Individual
MRS. MELISSA ROSE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N3015 HICKORY RD, BYRON, WI 53006-1126
(920) 933-4344
(920) 482-1273
Mailing address
414 BROOKRIDGE ST, ALLOUEZ, WI 54301-2132
(920) 471-6198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4824-27
WI
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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