Most Relevant Information
Provider Data
| NPI Number: | 1003256652 |
| Provider Name: | ALISHA F MELL OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5365-26 |
Most Important Dates
| Enumeration Date: | 06/27/2013 |
| Last Updated: | 06/27/2013 |
Provider Practice Location
1185 CORPORATE CENTER DR
SUITE 155
OCONOMOWOC
WI
530664887
Practice Location Phone/Fax
| Phone: | 2625675385 |
| Fax: |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | 6302962223 |
| Fax: |