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Individual

MELANIE A. BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
11876 SW STATE ROUTE U, HUME, MO 64752-7871
(816) 392-4828
Mailing address
RR 1 BOX 37H, HUME, MO 64752-9719
(816) 392-4828

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002815
MO
225X00000X
Occupational Therapist
17-00934
KS
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
478466923
MO
Enumeration date
03/04/2007
Last updated
02/12/2023
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