Individual
MELISSA MCKISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-1100
(313) 745-0476
Mailing address
233 WOODLAWN AVE, ROYAL OAK, MI 48073-2683
(734) 678-0281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007033
MI
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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