Individual
MELISSA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6138
Mailing address
8256 E ARABIAN TRL UNIT 243, SCOTTSDALE, AZ 85258-1870
(971) 506-8537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6847
AZ
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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