Individual
EMILY MELLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
9090 CAYUGA DR, CLARKSTON, MI 48348-3202
(248) 897-1785
Mailing address
9090 CAYUGA DR, CLARKSTON, MI 48348-3202
(248) 897-1785
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008091
MI
Other
Enumeration date
01/20/2016
Last updated
02/08/2024
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