Doctor Name: | MRS. MELANIE GRACE CARR |
NPI Number: | 1962585174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | OT0000002773 |
Business Practice Address: | 117 Lake Rd Madisonville, TN - 373546030 |
Business Phone Number: | 4232954346 |
Business Fax Number: | 4234201785 |
Mailing Address: | 117 Lake Rd, MADISONVILLE |
State: | TN |
Postal Code: | 373546030 |
Phone Number: | 4232954346 |
Fax Number: | 4234201785 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 03/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT0000002773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |