Individual
MELISSA LEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT,PCS
Contact information
Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3939
(205) 944-3991
Mailing address
322 OAK TRCE, HOOVER, AL 35244-4517
(206) 682-7442
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTH2267
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51075271
BCBS
AL
Enumeration date
09/13/2006
Last updated
03/31/2008
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