Individual
MELINDA SINE SEVERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 S WALNUT ST, YELLOW SPRINGS, OH 45387-1804
(937) 767-7217
Mailing address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 325-7671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1958
OH
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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