MELISSA JYNELLE JOHNSON

SAINT CHARLES, MO
NPI1609538610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2010039895)
Enumeration Date2021-10-06
Last Update Date2021-10-06
Business Address
MELISSA JYNELLE JOHNSON COTA/L
1221 BOONES LICK RD
SAINT CHARLES, MO 63301-2328
Phone number: 636-946-6140
Mailing Address
MELISSA JYNELLE JOHNSON COTA/L
1880 CAPOSELE LN
HAZELWOOD, MO 63042-1309
Phone number: 314-495-1443
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