Individual
MELANIE RENEE HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
706 NORTH WINDOWPANE WAY, DUNCAN, SC 29334-8979
(850) 570-5167
(864) 310-4415
Mailing address
706 N WINDOWPANE WAY, DUNCAN, SC 29334-8979
(850) 570-5167
(864) 310-4415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
376976
MD
225X00000X
Occupational Therapist
Primary
5697
SC
225X00000X
Occupational Therapist
OT 18182
FL
225X00000X
Occupational Therapist
OT18182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH4227
—
SC
Enumeration date
01/19/2017
Last updated
06/20/2021
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