Individual
MICHELLE MOHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1480 AUTUMN WOODS DR, MELBOURNE, FL 32935-5344
(321) 501-0215
Mailing address
1480 AUTUMN WOODS DR, MELBOURNE, FL 32935-5344
(321) 501-0215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15366
FL
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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