Individual
MELISSA LEE ROESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
100 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(952) 898-5700
Mailing address
1644 SHERWOOD WAY, EAGAN, MN 55122-2711
(651) 683-9346
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100576
MN
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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