Individual
MELISSA MARY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
86A CHURCH DR, PLEASANT HILL, TN 38578-3000
(931) 787-3685
Mailing address
394 ASHBURN DR, ROCKWOOD, TN 37854-7234
(865) 394-6628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1086
TN
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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