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Individual

MRS. MELISSA MARIE PUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. OTR/L

Contact information

Practice address
8600 CORPORATE DR, MOUNT PLEASANT, WI 53406-3777
(262) 884-8097
Mailing address
8600 CORPORATE DR, MOUNT PLEASANT, WI 53406-3777
(262) 884-8097

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006181
VA
225X00000X
Occupational Therapist
Primary
5424-26
WI

Other

Enumeration date
08/11/2014
Last updated
04/12/2018
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