| NPI | 1053866442 |
|---|---|
| Former Name | MELINDA KAY CALLAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: GA OTA002089) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 2679) |
| 224Z00000X Occupational Therapy Assistant (Licence: NC 10470) | |
| 224Z00000X Occupational Therapy Assistant (Licence: TX 214075) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |