Individual
MELISSA C CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
(602) 812-6128
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009055
AZ
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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