Individual
MRS. MICHLLE MARTHA MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1707 MADISON ST APT 1, ROCHESTER, IN 46975-2268
(260) 564-7472
Mailing address
1707 MADISON ST APT 1, ROCHESTER, IN 46975-2268
(260) 564-7472
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001330A
IN
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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