Individual
MELINDA HATTAWAY THRIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
932 BENNETT RD, WAYCROSS, GA 31503-1034
(912) 286-2665
(912) 285-3050
Mailing address
932 BENNETT RD, WAYCROSS, GA 31503-1034
(912) 286-2665
(912) 285-3050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1118
GA
225XP0200X
Pediatric Occupational Therapist
OT01118
GA
Other
Enumeration date
11/24/2009
Last updated
05/25/2017
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