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Individual

MRS. MELISSA MESERVE CATELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1804
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
099917
ANTHEM INDIVIDUAL PROVIDER ID
ME
01
7464888
AETNA INDIVIDUAL PROVIDER ID
ME
Enumeration date
07/26/2007
Last updated
01/27/2011
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