Individual
MELISSA MARIE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5870 W 10400 N STE C, HIGHLAND, UT 84003-9640
(801) 756-8900
Mailing address
4909 S ATWOOD BLVD, UPSTAIRS UNIT, MURRAY, UT 84107
(801) 698-7485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7367725-4202
UT
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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