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Individual

MELISSA WIELICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT OTR/L

Contact information

Practice address
214 S DILLARD ST, WINTER GARDEN, FL 34787-3523
(407) 877-0029
(407) 358-5207
Mailing address
214 S DILLARD ST, WINTER GARDEN, FL 34787-3523
(407) 877-0029
(407) 358-5207

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 16185
FL

Other

Enumeration date
02/25/2014
Last updated
02/25/2014
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