MICHAEL SHANE MELANCON

ZACHARY, LA
NPI1467210492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  340669)
Enumeration Date2024-03-13
Last Update Date2024-03-13
Business Address
MICHAEL SHANE MELANCON
4920 CHURCH STREET SUITE E
ZACHARY, LA 70791
Phone number: 225-570-2443
Mailing Address
MICHAEL SHANE MELANCON
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810-7827
Phone number: 225-408-7995