Individual
MELODIE DENISE MAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 686-6201
Mailing address
11 EAGLE ROCK DR, SHERWOOD, AR 72120-2002
(501) 230-5404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2894
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2894
LICENSE NUMBER
AR
Enumeration date
08/29/2017
Last updated
08/29/2017
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