Individual
MELINDA BETH CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 S MAIN ST, NIXA, MO 65714-5303
(417) 724-6200
Mailing address
2133 N BENTON AVE, SPRINGFIELD, MO 65803-3035
(619) 937-5891
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020017501
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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