Individual
MS. MELISSA JO MASCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1941 SAVAGE RD STE 400C, CHARLESTON, SC 29407-4791
(843) 571-2700
Mailing address
208 FAIR OAKS DR, FAIRMONT, WV 26554-9769
(304) 288-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3069
SC
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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