Individual
MELISSA KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 NORMA PL, TOMS RIVER, NJ 08755-1097
(732) 367-1408
Mailing address
4502 NORMA PL, TOMS RIVER, NJ 08755-1097
(732) 367-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09121800
NJ
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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