Individual
MRS. MELANIE ANDREA EMBREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, OCS, CSCS
Contact information
Practice address
19134 CURRIER DR, BEND, OR 97702
(541) 639-9770
(541) 919-1839
Mailing address
19134 CURRIER DR, BEND, OR 97702
(541) 639-9770
(541) 919-1839
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
225100000X
Physical Therapist
3932
OR
225100000X
Physical Therapist
PT00008184
WA
2251X0800X
Orthopedic Physical Therapist
Primary
03932
OR
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
10/10/2007
Last updated
01/30/2017
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