Individual
MRS. CAROLYN MELYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
17100 E SHEA BLVD STE 225, #225, FOUNTAIN HILLS, AZ 85268-6744
(480) 837-4565
Mailing address
17100 E SHEA BLVD STE 225, #225, FOUNTAIN HILLS, AZ 85268-6744
(480) 837-4565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6437
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497087621
27-1851322
AZ
Enumeration date
01/19/2016
Last updated
03/22/2017
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