Individual
MELODY PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7326 STATE ROUTE 19, UNIT 2614, MOUNT GILEAD, OH 43338-9354
(419) 348-8531
Mailing address
3255 COUNTY ROAD 125, CARDINGTON, OH 43315-9517
(419) 560-7839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005062
OH
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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