Individual
MELISSA A. TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3508 S LAPEER RD, METAMORA, MI 48455-8768
(810) 212-1134
(810) 212-1135
Mailing address
3508 S LAPEER RD, METAMORA, MI 48455-8768
(810) 212-1134
(810) 212-1135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
351341
NBCOT
—
01
—
5202008207
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
05/30/2017
Last updated
07/21/2022
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