Individual
KRISTEN MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
(304) 263-5680
Mailing address
208 OLD MILL RD, MARTINSBURG, WV 25401-9219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
C1565
WV
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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