Individual
MELISSA TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 REGENCY RD, SUITE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
(859) 224-0882
Mailing address
PO BOX 974, GOSHEN, NY 10924-0974
(845) 615-1585
(845) 615-1576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R5472
KY
Other
Enumeration date
04/01/2013
Last updated
07/08/2013
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