Individual
MRS. MELISSA DAWN ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5308 CHARLA LN, HACKETT, AR 72937-4424
(479) 996-0740
Mailing address
5308 CHARLA LN, HACKETT, AR 72937-4424
(479) 996-0740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR869
AR
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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