Individual
MICKEY HUGH MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2420 W 3RD ST, OWENSBORO, KY 42301-0328
(270) 685-4705
(270) 684-4867
Mailing address
PO BOX 33, CALHOUN, KY 42327-0033
(270) 543-8869
(270) 684-4867
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3420
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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