Individual
MELISA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(903) 509-1313
Mailing address
1001 W SW LOOP 323, TYLER, TX 75701-9416
(903) 509-1313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
108274
TX
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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