Individual
MELISSA A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, PTA
Contact information
Practice address
2814 S BALTIMORE ST, KIRKSVILLE, MO 63501-4640
(660) 785-1834
(660) 785-1825
Mailing address
2814 S BALTIMORE ST, KIRKSVILLE, MO 63501-4640
(660) 785-1834
(660) 785-1825
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010024921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010024921
LICENSE
MO
Enumeration date
11/01/2010
Last updated
11/01/2010
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