Melissa Rae Dawn Huddleston, OT
Occupational Therapist in North Little Rock, AR. Individual provider (NPI-1).
NPI number1114569332
StatusActive
Last updated in NPPESNov 23, 2020
Details
- NPI
- 1114569332
- Entity type
- Individual (NPI-1)
- Name
- Melissa Rae Dawn Huddleston
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2019
- Certification date
- Nov 23, 2020
- Last updated
- Nov 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR3331 | AR | Yes |
Practice location
4901 Northshore DrNorth Little Rock, AR 72118-5293
Phone 501-791-3331
Mailing address
2740 College AveConway, AR 72034-6141
Phone 501-329-5459 · Fax 501-327-1738
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All 98 Occupational Therapist providers in North Little Rock · All 2,889 providers in North Little Rock
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