Individual
MELANIE IRENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
108 W UNIVERSITY DR, MESA, AZ 85201-5818
(480) 688-1917
(480) 668-2750
Mailing address
25759 S 194TH ST, QUEEN CREEK, AZ 85142-6106
(602) 793-9676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-003009
AZ
225XP0200X
Pediatric Occupational Therapist
3009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751190
—
AZ
Enumeration date
12/13/2006
Last updated
03/25/2025
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