Individual
MRS. MELISSA ROSE STIREWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
54 DAN HALES DR, ATKINSON, NC 28421-9265
(910) 231-8839
Mailing address
54 DAN HALES DR, ATKINSON, NC 28421-9265
(910) 231-8839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6999
NC
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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