Individual
MELANIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 ASHLEY RIDGE BLVD STE 200, SHREVEPORT, LA 71106-7228
(318) 865-2225
Mailing address
460 ASHLEY RIDGE BLVD STE 200, SHREVEPORT, LA 71106-7228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200226
LA
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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