Blackmon, Melinda

Blackmon, Melinda is an individual health care provider with primary practice located at 2915 S Hazel St , Pine Bluff AR 71603-5008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Blackmon, Melinda can be contacted via phone (870) 535-0010.

Contact Information

Primary practice address
2915 S Hazel St Pine Bluff AR 71603-5008
Phone: (870) 535-0010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A324 Arkansas

Profile Details

NPI number 1669527420
LBN Legal business name Blackmon, Melinda
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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