Individual
MELISSA A MCGONIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5442
Mailing address
1311 BRANDYWINE BLVD, WILMINGTON, DE 19809-2306
(302) 529-3118
(302) 454-5442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001137
FM
Other
Enumeration date
09/08/2009
Last updated
09/19/2019
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