Individual
MELISSA ANCELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12033 SE 256TH ST, KENT, WA 98030-6503
(253) 373-7000
Mailing address
6311 S 240TH CT APT 3-106, KENT, WA 98032-8706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60394635
WA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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