Individual
MELANIE WANAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3000 MOCKINGBIRD, MIDLAND, TX 79705-1608
(432) 694-0077
Mailing address
4624 BOWIE DR, MIDLAND, TX 79703-5432
(432) 557-3474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208001
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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