MICKEY HUGH MELTON

OWENSBORO, KY
NPI1851582142
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence:   ky-a3420)
Enumeration Date2007-08-05
Last Update Date2007-08-05
Business Address
-- MICKEY HUGH MELTON cota
2420 W 3RD ST
OWENSBORO, KY 42301-0328
Phone number: 270-685-4705
Mailing Address
-- MICKEY HUGH MELTON cota
PO BOX 33
CALHOUN, KY 42327-0033
Phone number: 270-543-8869