Individual
MS. MELISSA DAWN HARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.S.
Contact information
Practice address
7820 BALLANTYNE COMMONS PKWY, CHARLOTTE, NC 28277-2841
(704) 540-3033
Mailing address
2815 UNIONVILLE INDIAN TRL RD W, INDIAN TRAIL, NC 28079-6752
(704) 882-8716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5391
NC
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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