Individual
MRS. MELISSA RUTH SCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 3RD AVE SE, DICKINSON, ND 58601-5637
(701) 227-3010
(701) 225-1968
Mailing address
PO BOX 782, BEACH, ND 58621-0782
(701) 872-4810
(701) 872-2304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50361
—
ND
Enumeration date
03/07/2007
Last updated
07/09/2007
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