Individual
MELISSA WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6294 FOREST VIEW COURT, AVON, IN 46123
(317) 268-6421
Mailing address
6294 FOREST VIEW CT, AVON, IN 46123-8186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002802A
IN
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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