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NPI Code Detail

MEDICARE: MELODY MANEY

MEDICARE:   MELODY  MANEY
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
1225X00000XOccupational Therapist056010281IL

General Provider Information

NPI Number : 1467858761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY MANEY
Provider Business Mailing Address
First Line : 1436 W RANDOLPH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1405
Country : US
Telephone Number : 312-773-0883
Fax Number :
Provider Business Practice Location Address
First Line : 1436 W RANDOLPH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1405
Country : US
Telephone Number : 312-773-0883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2014
Last Update Date : 11/13/2014

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Directions to “ MELODY MANEY ” Practice Location

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