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Individual

MELISSA CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
WV-10, LOGAN, WV 25601
(304) 752-2273
Mailing address
303 KAY RD, PORTSMOUTH, VA 23701-1215
(757) 528-3816

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001978
VA
224Z00000X
Occupational Therapy Assistant
C2128
WV

Other

Enumeration date
02/06/2017
Last updated
04/21/2023
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