| NPI | 1265980718 |
|---|---|
| Former Name | MELISSA BLAIR STILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN 2374) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02386) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-04-28 |