Individual
MELODY AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 WORTH STREET, HEMPHILL, TX 75948
(936) 201-2606
Mailing address
4537 STATE LINE RD, LOGANSPORT, LA 71049-3156
(318) 540-8076
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213056
TX
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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