Broadstone, Melinda C

Broadstone, Melinda C is an sole proprietor health care provider with primary practice located at 61 Ferry Rd Ne , Fort Walton Beach FL 32548-5170. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Broadstone, Melinda C can be contacted via phone (850) 217-3096.

Contact Information

Primary practice address
61 Ferry Rd Ne Fort Walton Beach FL 32548-5170
Phone: (850) 217-3096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA32767 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT9352 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology 225XG0600X OT9352 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X OT9352 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT9352 Florida

Profile Details

NPI number 1396076352
LBN Legal business name Broadstone, Melinda C
Credentials O.T., M.T., CLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2010
Last updated Jan 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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