Individual
MELISSA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 LAUREN DR, BOONEVILLE, MS 38829-2507
(662) 720-1007
(662) 720-1007
Mailing address
100 LAUREN DR, BOONEVILLE, MS 38829-2507
(662) 720-1007
(662) 720-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0276
MS
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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