Individual
MRS. MELANIE LEEANN MCGALLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2108 BEACON CT, ALBANY, GA 31721-1946
(229) 254-9362
Mailing address
2108 BEACON CT, ALBANY, GA 31721-1946
(229) 254-9362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009602
GA
2251P0200X
Pediatric Physical Therapist
PT009602
GA
2251S0007X
Sports Physical Therapist
PT009602
GA
2251X0800X
Orthopedic Physical Therapist
PT009602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576077601
—
GA
Enumeration date
05/05/2009
Last updated
12/11/2015
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