Individual
ELIZABETH MARIE MELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1132 E 12TH ST, DOUGLAS, AZ 85607-2337
(520) 364-2447
(520) 762-4384
Mailing address
PO BOX 477, PEARCE, AZ 85625-0477
(520) 895-1968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009238
AZ
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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