Individual
MELISSA MARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
255 DUDLEY TOWN RD, WINDSOR, CT 06095-2640
(860) 752-4996
Mailing address
255 DUDLEY TOWN RD, WINDSOR, CT 06095-2640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0134483TELE
VT
225X00000X
Occupational Therapist
Primary
5929
CT
225X00000X
Occupational Therapist
OT4685
ME
225XM0800X
Mental Health Occupational Therapist
14718
MA
225XM0800X
Mental Health Occupational Therapist
5929
CT
Other
Enumeration date
07/24/2023
Last updated
05/05/2025
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