Individual
MELANIE ANN FEDDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3315 ROOSEVELT RD, SUITE 200A, SAINT CLOUD, MN 56301-6269
(320) 229-4069
(320) 229-4071
Mailing address
3315 ROOSEVELT RD, SUITE 200A, SAINT CLOUD, MN 56301-6269
(320) 229-4069
(320) 229-4071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104707
MN
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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