Individual
MELODI LYNN LEPAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Contact information
Practice address
2727 MC CLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 625-2197
Mailing address
2405 NEW HAMPSHIRE AVE, JOPLIN, MO 64804-2348
(417) 592-0902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006002970
MO
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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