Individual
MRS. MELISSA JANE ESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
Mailing address
327 N ELM ST, COLUMBIA CITY, IN 46725-1601
(940) 210-3279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002035A
IN
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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