Coleman, Melinda L

Coleman, Melinda L is an sole proprietor health care provider with primary practice located at 815 Walden Glen Ln , Evans GA 30809-3144. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Coleman, Melinda L can be contacted via phone (706) 495-2528.

Contact Information

Primary practice address
815 Walden Glen Ln Evans GA 30809-3144
Phone: (706) 495-2528
Fax: (706) 364-0351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003551 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2630 South Carolina

Profile Details

NPI number 1255350880
LBN Legal business name Coleman, Melinda L
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255350880 NPPES
Georgia MEDICAID 39219899A

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