Individual
BRIANNE MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47372 POPPY LN, LA QUINTA, CA 92253-8313
(985) 804-1921
Mailing address
47372 POPPY LN, LA QUINTA, CA 92253-8313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT27238
CA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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