Provider Demographics
NPI:1235418492
Name:YARBROUGH, MELISSA M (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:M
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 HUGHES RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3400
Mailing Address - Country:US
Mailing Address - Phone:256-883-7338
Mailing Address - Fax:256-883-7135
Practice Address - Street 1:97 HUGHES RD
Practice Address - Street 2:SUITE H
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3400
Practice Address - Country:US
Practice Address - Phone:256-883-7338
Practice Address - Fax:256-883-7135
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3278225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist