Individual
MELISSA GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5004 KNIGHTS CT, COLUMBIA, TN 38401-1204
(505) 980-2166
Mailing address
5004 KNIGHTS CT, COLUMBIA, TN 38401-1204
(505) 980-2166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3919
TN
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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