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Individual

MRS. MELISSA CATHERINE WAMPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
185 BLUEBERRY ST, WHITE HOUSE, TN 37188-8161
(317) 345-4098
Mailing address
1980 MESA GRANDE LOOP NW, RIO RANCHO, NM 87144
(505) 890-0454

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2112
NM
225XP0200X
Pediatric Occupational Therapist
Primary
4241
TN

Other

Enumeration date
11/16/2006
Last updated
10/09/2024
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