Organization
MELBOURNE THERAPY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA W LAMB OTR/L (OCCUPATIONAL THERAPIST/PRESIDENT)
(870) 368-4774
Entity
Organization
Contact information
Practice address
701 MAIN STREET, SUITE B, MELBOURNE, AR 72556
(870) 368-4774
(870) 368-4773
Mailing address
PO BOX 814, MELBOURNE, AR 72556-0814
(870) 368-4774
(870) 368-4773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1310
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138707721
—
AR
01
—
5G198
MEDICARE
AR
Enumeration date
03/27/2009
Last updated
04/22/2009
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