Individual
MS. MELISSA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L
Contact information
Practice address
3504 INKWOOD DR, ANDERSON, CA 96007-4713
(530) 945-7844
Mailing address
3504 INKWOOD DR, ANDERSON, CA 96007-4713
(530) 945-7844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1947
CA
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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