Individual
MELISSA WALLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8600
Mailing address
550 MUNSON AVE, TRAVERSE CITY, MI 49686-3580
(231) 935-8600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4802026
WI
225X00000X
Occupational Therapist
Primary
5201006637
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952307852
—
MI
Enumeration date
04/25/2012
Last updated
07/31/2024
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