Individual
MS. MELISSA DAWN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MUSKET CT, SIMPSONVILLE, SC 29680-7232
(864) 399-9336
Mailing address
4 MUSKET CT, SIMPSONVILLE, SC 29680-7232
(864) 399-9336
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
154886E
SC
364SH0200X
Home Health Clinical Nurse Specialist
154486E
SC
374U00000X
Home Health Aide
154886E
SC
376K00000X
Nurse's Aide
Primary
154886E
SC
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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