MRS. Melissa L Blackmon, OT

NPI #1356569701 in Selma, Alabama

Provider Information

NPI Number: 1356569701
Entity Type: Individual
Name: MRS. Melissa L Blackmon, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Apr 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 108 EXECUTIVE PARK LN
City: Selma
State: Alabama
ZIP Code: 36701-7734
Phone: (334) 875-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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