Individual
MELANIE A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1214 N BENNETT ST, SILVER CITY, NM 88061-6502
(505) 534-1280
(505) 534-9734
Mailing address
217 E. 2ND AVE, COLVILLE, WA 99114
(509) 684-5027
(509) 684-6133
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT60061027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17955866
—
NM
Enumeration date
07/11/2005
Last updated
10/17/2018
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