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Individual

MRS. MELISSA WEAVER LAMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

Practice address
701 MAIN ST., SUITE B, MELBOURNE, AR 72556
(870) 368-7225
Mailing address
PO BOX 814, MELBOURNE, AR 72556-0814
(870) 368-7225

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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