Melinda Lee Conklin, OT
Occupational Therapist, Gerontology in Crozet, VA. Individual provider (NPI-1).
NPI number1982209771
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1982209771
- Entity type
- Individual (NPI-1)
- Name
- Melinda Lee Conklin
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2020
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XG0600X | Occupational Therapist, Gerontology | 0119001517 | VA | Yes |
Practice location
1220 Crozet AveCrozet, VA 22932-3163
Phone 434-823-4307
Mailing address
1220 Crozet AveCrozet, VA 22932-3163
Phone 434-823-4307
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