Individual
MELISSA SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Mailing address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 476
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A819
BCBS
AR
Enumeration date
03/13/2007
Last updated
08/05/2009
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