Individual
MELANIE RITA CARLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
784 NANTUCKET AVE, EUGENE, OR 97404-2719
(541) 790-2092
(541) 636-5352
Mailing address
784 NANTUCKET AVE, EUGENE, OR 97404-2719
(541) 790-2092
(541) 636-5352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06505
OREGON STATE LICENSE
OR
01
—
PT004233
LICENSE#
GA
Enumeration date
11/08/2006
Last updated
07/21/2022
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