Individual
MELINDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2301 INDIAN VALLEY, BENTON, AR 72019-8212
(501) 794-0094
Mailing address
2301 INDIAN VALLEY DR, BENTON, AR 72019-8212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-1169
AR
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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