Individual
MELISSA FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18887 COUNTY ROAD 1150, PIONEER, OH 43554-9705
(260) 460-7819
Mailing address
18887 COUNTY ROAD 1150, PIONEER, OH 43554-9705
(260) 460-7819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06396
OH
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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