Individual
MELISSA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 8TH ST, PARK HILLS, MO 63601-4232
(573) 431-3076
Mailing address
1049 DEERFIELD DR, SULLIVAN, MO 63080-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006032641
MO
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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