Individual
MELODY S PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2119 E SOUTH BLVD STE 200, MONTGOMERY, AL 36116-2496
(334) 613-9000
(334) 286-6312
Mailing address
2119 EAST SOUTH BLVD #200, MONTGOMERY, AL 36116-2496
(334) 613-9000
(334) 286-6312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3119
AL
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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