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NPI Code Detail

MEDICARE: MELANI PAULL DPT

MEDICARE:   MELANI  PAULL  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2014019893MO

General Provider Information

NPI Number : 1205239548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANI PAULL DPT
Provider Business Mailing Address
First Line : 14727 TIMBERBLUFF DR
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-5575
Country : US
Telephone Number : 314-359-9007
Fax Number :
Provider Business Practice Location Address
First Line : 425 N NEW BALLAS RD STE 295
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-6853
Country : US
Telephone Number : 314-993-7035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2014
Last Update Date : 05/18/2023

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Directions to “ MELANI PAULL DPT” Practice Location

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