Individual
MELANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 933-9528
Mailing address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 933-9528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T0751
AR
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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