Individual
MELISSA VANDERTOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
386 TUTTLE LN, BURBANK, WA 99323-9717
(509) 302-1459
Mailing address
1578 AMBER AVE, WEST RICHLAND, WA 99353-9712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00002397
WA
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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