Individual
MRS. MELISSA ANN OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 3526
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51503984
BCBS
AL
05
—
890008100
—
AL
Enumeration date
08/31/2006
Last updated
03/20/2008
Update your record
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