Individual
MELINDA LEE LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 739-4241
Mailing address
110 HALLVILLE RD, EXETER, RI 02822-3205
(401) 569-5067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00327
RI
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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