MELISSA MARIE TIETZE

BENTON, AR
NPI1053621201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A869)
Enumeration Date2010-10-20
Last Update Date2014-08-19
Business Address
Miss MELISSA MARIE TIETZE COTA
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
Mailing Address
Miss MELISSA MARIE TIETZE COTA
17706 I-30 STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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