Individual
MRS. TINA B MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2800 W MAIN ST, TUPELO, MS 38801-3027
(662) 844-1441
(662) 841-8769
Mailing address
129 COURTLAND DR, SALTILLO, MS 38866-6003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0222
MS
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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