Individual
MELISSA JANE MACLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2300 SPRING GARDEN ST, GREENSBORO, NC 27403-2135
(336) 294-3338
(336) 294-6696
Mailing address
217 S TREMONT DR, GREENSBORO, NC 27403-1736
(336) 275-7026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127GY
BCBSNC
NC
05
—
7301419
—
NC
Enumeration date
01/02/2007
Last updated
07/09/2007
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