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Individual

MR. CLEVELAND PAUL MELANCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, OCS

Contact information

Practice address
17609 OLD JEFFERSON HWY, SUITE G, PRAIRIEVILLE, LA 70769-3979
(225) 673-0200
(225) 673-0202
Mailing address
17609 OLD JEFFERSON HWY, SUITE G, PRAIRIEVILLE, LA 70769-3979
(225) 673-0200
(225) 673-0202

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
01407
LA

Other

Enumeration date
09/27/2006
Last updated
03/18/2008
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