Individual
MELINDA LEE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1220 CROZET AVE, CROZET, VA 22932-3163
(434) 823-4307
Mailing address
1220 CROZET AVE, CROZET, VA 22932-3163
(434) 823-4307
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
0119001517
VA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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