Individual
MELISA CANTRELL
Active
Individual
MELISA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007243
OH
225X00000X
Occupational Therapist
4056
SC
225XP0200X
Pediatric Occupational Therapist
Primary
4056
SC
Other
Enumeration date
05/30/2007
Last updated
02/22/2020
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