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Individual

MELISSA LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
421 SQUIRE POPE RD, HILTON HEAD, SC 29926-1229
(843) 342-4086
Mailing address
1009 PURRINGTON CT, VIRGINIA BEACH, VA 23454-6727
(757) 201-2048

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5264
SC

Other

Enumeration date
06/12/2021
Last updated
06/12/2021
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