Individual
MRS. MELANIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 779-0780
Mailing address
17540 E MAIN ST, LOUISVILLE, MS 39339-2772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1420
MS
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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