Individual
MRS. MELISSA WEAVER LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1310
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138707721
—
AR
01
—
5V131G198
MEDICARE
AR
Enumeration date
04/04/2007
Last updated
04/22/2009
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