Individual
MELISSA LORRAINE COLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 BRANDYWINE BOULEVARD, FAYETTEVILLE, GA 30214
(770) 597-0555
Mailing address
113 RIPLEY CT, CARY, NC 27513-5121
(770) 597-0555
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001318
GA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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