Individual
MELISSA MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 HIDDEN BROOK DR, E, GLEN BURNIE, MD 21061-9002
(914) 844-8272
Mailing address
408 HIDDEN BROOK DR, E, GLEN BURNIE, MD 21061-9002
(914) 844-8272
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02175
MD
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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