Individual
MRS. MELISSA LYNN SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
Mailing address
94454 11TH STREET, GOLD BEACH, OR 97444
(217) 552-5870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.002249
IL
224Z00000X
Occupational Therapy Assistant
Primary
1053450
OR
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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