Individual
MELISSA A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
179 COMBS ST, SPARTA, NC 28675-8429
(336) 372-2441
Mailing address
1625 PINE MOUNTAIN RD, INDEPENDENCE, VA 24348-4857
(276) 237-0989
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001503
VA
224Z00000X
Occupational Therapy Assistant
Primary
10009
NC
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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