Glynn R Melancon O.T.

NPI 1063436384 - Occupational Therapist - 225X00000X

NPI Details
NPI 1063436384
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3730 BLAIR DR
LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS
SHREVEPORT LA, 71103-4602, US
Phone (318) 632-2030
Fax (318) 675-7737
Business Location
3730 BLAIR DR
LSUHSC-SCHOOL OF ALLIED HEALTH PROFESSIONALS
SHREVEPORT LA, 71103-4602, US
Phone (318) 632-2030
Fax (318) 675-7737
Toxanomy
Taxonomy Code 225X00000X
License State
License Number
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According to our database, Glynn R Melancon O.T. NPI is 1063436384, taxonomy code is 225X00000X Glynn R Melancon O.T. physically located at 3730 Blair Dr, Shreveport LA, 71103-4602. NPI Number Glynn R Melancon O.T. has the Individual type.

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1063436384 NPI number is provided on an as is basis without warranty of any kind. 1063436384 is maintained by the National Plan & Provider Enumeration System. The contents of Glynn R Melancon O.T. are for informational purposes only.