Individual
MISS MELISSA MILES FIGHTMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6270 W 38TH AVE, WHEAT RIDGE, CO 80033-5056
(303) 421-2272
Mailing address
5443 WATER TOWER PROMENADE, ARVADA, CO 80002-3672
(303) 954-0333
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
286898
CO
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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