Individual
MELANIE STODARD GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1727 GATLIN CREEK RD, THOMASVILLE, GA 31757-1736
(229) 224-4203
Mailing address
3228 MERIDIAN RD, THOMASVILLE, GA 31792-0427
(229) 377-3829
(229) 226-3748
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT002398
GA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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