Individual
MRS. MELISSA VERKLER SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Mailing address
5600 GOODMAN RD STE D, OLIVE BRANCH, MS 38654-7002
(662) 895-4545
(662) 895-4546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0574
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124616
—
MS
Enumeration date
07/25/2006
Last updated
07/08/2007
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