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Individual
MELANIE RITA CARLONE
Active
Individual
MELANIE RITA CARLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06505
OREGON STATE LICENSE
OR
01
—
PT004233
LICENSE#
GA
Enumeration date
11/08/2006
Last updated
07/21/2022
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