Individual
MELINDA MARIE LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 MAIN ST, TROY, MO 63379-1130
(636) 528-4809
Mailing address
51 MAIN ST, TROY, MO 63379-1130
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009028078
MO
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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