Individual
MELISSA LEEANN BIGELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8948 RASMUSSEN CT, RACINE, WI 53406-1668
(262) 884-8659
(262) 886-1115
Mailing address
8948 RASMUSSEN CT, RACINE, WI 53406-1668
(262) 884-8659
(262) 886-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3530-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41036100
—
WI
Enumeration date
02/20/2007
Last updated
07/22/2008
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