Individual
MELISSA MCLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR
Contact information
Practice address
7550 ASSISI HTS, COLORADO SPRINGS, CO 80919-3853
(719) 598-1336
Mailing address
509 BRUMSEY CT SW, LEESBURG, VA 20175-5802
(860) 604-8678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CO
Other
Enumeration date
09/12/2021
Last updated
02/07/2023
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