Individual
JAIME WAICUS MELITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
Mailing address
210 FOXHALL RD, NEWPORT, NC 28570-6790
(252) 223-2560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15372
NC
225X00000X
Occupational Therapist
OT003878
GA
Other
Enumeration date
11/18/2015
Last updated
02/21/2024
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