Individual
MELISSA MARIE ANTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1286 GAILARD DR, CONWAY, SC 29526-9446
(843) 240-3322
Mailing address
1286 GAILARD DR, CONWAY, SC 29526-9446
(843) 240-3322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2432
SC
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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