Individual
MELANIE ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6602 S LINDBERGH BLVD, SAINT LOUIS, MO 63123-7808
(314) 845-7751
Mailing address
5070 BRYNCASTLE PL, SAINT LOUIS, MO 63128-3026
(314) 805-0156
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022032737
MO
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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