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Individual

MELISSA DIANE GREENLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MELISSA GREENLAW

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
12 WINTHROP CT, WATERFORD, CT 06385-2724
(978) 987-6566

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3932
CT

Other

Enumeration date
12/02/2016
Last updated
12/02/2016
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