Most Relevant Information
Provider Data
| NPI Number: | 1003531799 |
| Provider Name: | MELODY CHRISTIAN RIDGE OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 123092 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 10/05/2022 |
Provider Practice Location
300A UNIVERSITY BLVD
ROUND ROCK
TX
786651032
Practice Location Phone/Fax
| Phone: | 7372370046 |
| Fax: |
Provider Mailing Location
12912 STATON DR
AUSTIN
TX
787274511
Provider Mailing Phone/Fax
| Phone: | 9136339279 |
| Fax: |