Individual
MS. MELISSA JEAN KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3959 SHERIDAN AVE., NORTH BEND, OR 97459
(541) 756-4151
(541) 751-7715
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1009106
OR
224Z00000X
Occupational Therapy Assistant
200895
MN
Other
Enumeration date
10/24/2011
Last updated
10/10/2012
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