Individual
FALLON MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6034 HEATH VALLEY RD, CHARLOTTE, NC 28210-4352
(704) 577-9937
Mailing address
508 AUTUMN SPRINGS CT STE 1A, FRANKLIN, TN 37067-8274
(615) 614-8833
(615) 614-8811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14752
NC
225X00000X
Occupational Therapist
6655
TN
Other
Enumeration date
09/15/2020
Last updated
03/22/2022
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