MEDICARE: MELINDA M PAUL 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
1	225100000X	Physical Therapist	PT013587	OH

General Provider Information

NPI Number	:	1760770804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA M PAUL DPT

Provider Business Mailing Address
First Line	:	3032 ORDERS RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-1566
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2760 AIRPORT DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2284
Country	:	US
Telephone Number	:	614-866-8158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	04/02/2024

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