Individual
MRS. MELISSA KAYE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
864 US HIGHWAY 158 BUS W, WARRENTON, NC 27589-9789
(252) 257-2011
Mailing address
103 LITTLE RIVER LN, WALHALLA, SC 29691-3320
(864) 903-9322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008650022
SOUTH CAROLINA DIVERS LICENSE
SC
Enumeration date
08/02/2017
Last updated
06/16/2018
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