Individual
MELISA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 270-8647
Mailing address
715 THISTLEWOOD DR, DUNCAN, SC 29334-8965
(606) 584-7409
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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