Individual
MELISSA MARIE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4016 RAINTREE RD STE 100A, CHESAPEAKE, VA 23321-3700
(757) 488-2864
(757) 488-4735
Mailing address
3982 WATER OAK RD APT 511, VIRGINIA BEACH, VA 23452-2015
(315) 941-3992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316051287
—
VA
Enumeration date
01/30/2018
Last updated
01/30/2018
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