Individual
JESSICA M. MELCHIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107537
MN
225X00000X
Occupational Therapist
OT 006224
OH
Other
Enumeration date
09/27/2005
Last updated
08/14/2024
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