Individual
MELISSA MICHELLE YNIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
83 CROSSROAD LANE, FISHERSVILLE, VA 22939
(540) 885-8424
Mailing address
1693 WICKHAM WAY, CHARLOTTESVILLE, VA 22901-9232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001919
VA
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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