Individual
LAURA MELGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3690 W 159TH ST, CLEVELAND, OH 44111-5706
(216) 252-2131
Mailing address
1440 LAKESIDE AVE E, RM 210, CLEVELAND, OH 44114-1137
(216) 592-7236
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-004986
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
OH
Enumeration date
04/21/2014
Last updated
04/21/2014
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