Individual
MELISSA GAIL MCDOUGALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 PARKWOOD BLVD APT 415, PLANO, TX 75093-4788
(361) 249-6096
Mailing address
3200 PARKWOOD BLVD APT 415, PLANO, TX 75093-4788
(361) 249-6096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211245
TX
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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