Individual
MARTY MELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 WINDFLOWER WAY, SEVERANCE, CO 80550-6232
(800) 259-9897
Mailing address
310 WINDFLOWER WAY, SEVERANCE, CO 80550-6232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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