Individual
MELODY RUTH ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOREST HILLS BLVD STE 205, BELLA VISTA, AR 72715-3071
(479) 855-9348
Mailing address
10028 LITTLE ACRES LN, PEA RIDGE, AR 72751-9405
(253) 320-6567
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4741
AR
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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