Individual
MELISSA ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
205 N 7TH ST, ZANESVILLE, OH 43701-3791
(740) 408-1422
Mailing address
1595 MY DR, ZANESVILLE, OH 43701-0940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03824
OCCUPATIONAL THERAPY OHIO
OH
Enumeration date
09/30/2014
Last updated
09/30/2014
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