Individual
MRS. MELISSA ANNE WELLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 322-3555
Mailing address
13124 S HOUSTON AVE, CHICAGO, IL 60633-1707
(773) 646-2469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001074A
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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