Individual
MELANIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 BUFORD VILLAGE WAY STE 229, BUFORD, GA 30518-8846
(678) 482-6100
(770) 932-5684
Mailing address
3878 SOFT WIND TER, BUFORD, GA 30518-8923
(678) 906-3992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT007033
SECRETARY OF STATE, STATE OF GEORGIA
GA
Enumeration date
04/19/2018
Last updated
04/19/2018
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