Individual
MS. MELONIE YVONNE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 825-0455
Mailing address
1903 LAIGH RD, PORTSMOUTH, VA 23701-2628
(757) 582-5212
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000738
VA
Other
Enumeration date
02/25/2011
Last updated
03/15/2011
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