Individual
MELISSA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 S MAIN ST, FALL RIVER, MA 02721-5327
(508) 904-6750
Mailing address
86 AUCOOT RD, MATTAPOISETT, MA 02739-2429
(774) 271-0183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
653992
MA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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