Individual
MELINDA L COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
815 WALDEN GLEN LN, EVANS, GA 30809-3144
(706) 495-2528
(706) 364-0351
Mailing address
815 WALDEN GLEN LN, EVANS, GA 30809-3144
(706) 495-2528
(706) 364-0351
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2630
SC
225X00000X
Occupational Therapist
Primary
OT003551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39219899A
—
GA
Enumeration date
07/18/2006
Last updated
07/08/2007
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