Individual
MELISSA ANN KIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3431 FOOTHILL BLVD, OAKLAND, CA 94601-3129
(510) 534-8540
Mailing address
1415 W WARNER AVE UNIT 2, CHICAGO, IL 60613-1912
(219) 670-3515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.004468
IL
224Z00000X
Occupational Therapy Assistant
Primary
OTA4782
CA
Other
Enumeration date
02/23/2018
Last updated
04/04/2019
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