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Individual

MELISSA BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
Mailing address
759 VALLEY RIVER DR, COLUMBIA CITY, IN 46725-8477
(260) 609-9154

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001443A
IN

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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