Individual
MELANIE KAY DENNISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2618 FOWLER ST, ANDERSON, IN 46012-3716
(765) 639-3703
Mailing address
2618 FOWLER ST, ANDERSON, IN 46012-3716
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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