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Individual

HEATHER MELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
197 HIGHLAND CIR, SHELBYVILLE, TN 37160-5415
(931) 684-3833
Mailing address
197 HIGHLAND CIR, SHELBYVILLE, TN 37160-5415
(931) 684-3833

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000002147
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4022798
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/10/2007
Last updated
01/16/2008
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