Individual
MELANIE HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 LINDBERGH DR, JACKSON, MS 39209-3855
(601) 353-9934
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2725
MS
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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