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Individual

MRS. MELISSA HALL MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
159 TUTTY LOOP, HOUMA, LA 70363-3839
(985) 223-2318
Mailing address
159 TUTTY LOOP, HOUMA, LA 70363-3839
(985) 223-2318

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z11948
LA

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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