Individual
MELISSA A VALICENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
Mailing address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006201
MI
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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