Individual
MRS. ANDREA LYNN MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2401 GILLHAM RD, OCCUPATIONAL THERAPY DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 234-3380
(816) 346-1372
Mailing address
2005 NE WATERFIELD CT, BLUE SPRINGS, MO 64014-1873
(816) 228-5504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002479
MO
225X00000X
Occupational Therapist
17-00642
KS
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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