Individual
MELISSA LEE MC NAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-4952
Mailing address
3658 W WAYNE LN, ANTHEM, AZ 85086-2727
(623) 594-6936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2344
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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