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Individual

MELINDA L OSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1111 MORNINGSIDE PL NE, ATLANTA, GA 30306-3061
(404) 849-8235
Mailing address
1111 MORNINGSIDE PL NE, ATLANTA, GA 30306-3061
(404) 849-8235

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006838
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003108942B
GA
Enumeration date
06/11/2006
Last updated
05/28/2020
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