Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
39575 W 10 MILE RD STE 201, NOVI, MI 48375-2949
(248) 516-7250
(248) 516-7251
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011226
MI
Other
Enumeration date
03/25/2021
Last updated
04/18/2025
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