MELISSA MOOSE

WINSTON SALEM, NC
NPI1205950490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NC  4791)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- MELISSA MOOSE OT
2500 POLO RIDGE CT
WINSTON SALEM, NC 27106-3950
Phone number: 336-734-1734
Mailing Address
-- MELISSA MOOSE OT
174 SCOTT RD
LEWISVILLE, NC 27023-8168
Phone number: 336-734-1734
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