Individual
MELISSA MARIE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3326
(800) 465-3203
Mailing address
679 BIRCH HILL DR, 1135 DONINGTON CIRCLE APT. A BALTIMORE MD 21204, BRIDGEWATER, NJ 08807-2205
(908) 420-7802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T01125
MD
Other
Enumeration date
06/10/2016
Last updated
11/21/2017
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