Individual
MRS. MELISSA JO BOZZAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20629 BELLVUE DR, LITTLE ROCK, AR 72210-4782
(630) 605-3018
Mailing address
20629 BELLVUE DR, LITTLE ROCK, AR 72210-4782
(630) 605-3018
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056004450
IL
Other
Enumeration date
04/19/2007
Last updated
10/14/2013
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