Individual
MELISSA RENEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
(803) 641-2628
Mailing address
1000 BROOKHAVEN DR, AIKEN, SC 29803-2109
(803) 641-2624
(803) 641-2628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1826
SC
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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