Individual
MRS. MELANIE B AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 WEST RAILROAD AVE. NORTH, CRYSTAL SPRINGS, MS 39059
(601) 892-8707
Mailing address
2159 CROSSBRIDGE BLVD, BYRAM, MS 39272-8724
(601) 668-5390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670000061
PTAN
MS
Enumeration date
10/04/2006
Last updated
10/02/2009
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