Individual
MELISSA DYAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 TIGER BLVD, BENTONVILLE, AR 72712-2011
(479) 254-5065
Mailing address
703 WOODLAND DR, ROGERS, AR 72756-1717
(479) 936-7647
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2826
AR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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