Individual
MELISSA MERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
1505 ORRIN RD, PRESCOTT, WI 54021-1074
(715) 262-5661
Mailing address
2194 PIERCE SAINT CROIX RD, BALDWIN, WI 54002-2800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5029-27
WI
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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