Individual
MRS. MARIA GRACELY GOPIAO MELOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1 MADELINE CT, MADISON, WV 25130-1289
(304) 345-0867
(304) 342-2587
Mailing address
1 MADELINE CT, MADISON, WV 25130-1289
(304) 345-0867
(304) 342-2587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1112
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156761000
—
WV
05
—
0206427000
—
WV
Enumeration date
11/21/2006
Last updated
10/08/2014
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