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Individual

MELISSA JEAN WYKSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1163 E 7TH ST, CHICO, CA 95928-5903
(530) 891-3000
Mailing address
1258 FILBERT AVE APT A, CHICO, CA 95926-2962
(716) 410-2044

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1612
CA

Other

Enumeration date
06/04/2026
Last updated
06/04/2026
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