Individual
MELISSA CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
640 3 MILE RD NW, WALKER, MI 49544-8209
(616) 600-2845
Mailing address
2777 CASTLE BLUFF CT SE APT 304, GRAND RAPIDS, MI 49512-8007
(734) 686-5444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201011075
MI
247200000X
Other Technician
—
—
Other
Enumeration date
05/18/2016
Last updated
07/28/2024
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