Individual
MELINDA ANN MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
76 BUD RIDGE RD, UNION, WV 24983
(304) 772-5639
(304) 772-4639
Mailing address
76 BUD RIDGE RD, UNION, WV 24983
(304) 772-5639
(304) 772-4639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001473
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001473
STATE LICENSE
WV
05
—
7303140000
—
WV
Enumeration date
08/09/2006
Last updated
03/13/2013
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