Individual
MELANIE KELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8208 SMITHFIELD AVE, SPRINGFIELD, VA 22152-3053
(570) 847-2140
Mailing address
8208 SMITHFIELD AVE, SPRINGFIELD, VA 22152-3053
(570) 847-2140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005729
VA
Other
Enumeration date
08/23/2012
Last updated
06/05/2015
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