Individual
MELISSA RENAE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
613 BRIDGEWAY DR, MARYVILLE, TN 37801-8545
(606) 205-0350
Mailing address
613 BRIDGEWAY DR, MARYVILLE, TN 37801-8545
(606) 205-0350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002439
VA
225X00000X
Occupational Therapist
123815
TX
225X00000X
Occupational Therapist
135505
KY
225X00000X
Occupational Therapist
1605
WV
225X00000X
Occupational Therapist
16227
NC
225X00000X
Occupational Therapist
7256
SC
Other
Enumeration date
08/04/2016
Last updated
03/12/2025
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