Anderson, Melissa
Anderson, Melissa is an individual health care provider with primary practice located at 90 Clark Blvd Ste A , Tupelo MS 38804-2801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Melissa can be contacted via phone (662) 840-0535.Contact Information
Primary practice address
90 Clark Blvd Ste A
Tupelo MS 38804-2801
Phone: (662) 840-0535
Fax: (662) 842-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT 1197 | Mississippi |
Profile Details
| NPI number | 1083913651 |
|---|---|
| LBN Legal business name | Anderson, Melissa |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2011 |
| Last updated | Jan 14th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083913651 | NPPES |
| Mississippi | MEDICAID | 00230121 |
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