Melissa Southard
NPI #1750778627 in Canon City, Colorado
Provider Information
- NPI Number
- 1750778627
- Entity Type
- Individual
- Name
- Melissa Southard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Apr 18, 2015
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 1401 PHAY AVE
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-2303
- Phone
- (719) 275-8656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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