Individual
MELISSA KAYE KHOSLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
1120 S. CALUMET, #3, CHESTERTON, IN 46304
(219) 983-9675
Mailing address
1120 S. CALUMET, #3, CHESTERTON, IN 46304
(219) 983-9675
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
310048886A
IN
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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