Individual
MELISSA JEAN TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
28 ELAINE AVE, SAUGUS, MA 01906
(781) 558-5381
Mailing address
28 ELAINE AVE, SAUGUS, MA 01906-2942
(781) 558-5381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
S84189296
MA
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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