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Contact Information

MELBOURNE THERAPY CLINIC INC
701 MAIN STREET
SUITE B
MELBOURNE, AR72556
 Phone: 870-368-4774
 Fax: 870-368-4773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MELBOURNE THERAPY CLINIC INC · (Female)

NPI Number 1639311392
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2009
Last updated 04/22/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # OTR1310
  • AR Medicaid 138707721
  • AR Other 5G198 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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