Individual
MELISSA GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.T, OTR/L
Contact information
Practice address
5620 SMITH STATION RD, FREDERICKSBURG, VA 22407-9311
(540) 710-5190
Mailing address
2602 RIDGE CREEK CT, MIDLOTHIAN, VA 23112-4309
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119004831
VA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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