Individual
MRS. MELISSA KEGLEY WILLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6100 W FRIENDLY AVE, GREENSBORO, NC 27410-4160
(336) 292-1301
Mailing address
3398 VALLEY CROSSING DR, GREENSBORO, NC 27410-9196
(336) 931-1263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5175
NC
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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