Broadstone, Melinda C
Broadstone, Melinda C is an sole proprietor health care provider with primary practice located at 61 Ferry Rd Ne , Fort Walton Beach FL 32548-5170. She recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Broadstone, Melinda C can be contacted via phone (850) 217-3096.Contact Information
Primary practice address
61 Ferry Rd Ne
Fort Walton Beach FL 32548-5170
Phone: (850) 217-3096
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA32767 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT9352 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | OT9352 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | OT9352 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT9352 | Florida |
Profile Details
NPI number | 1396076352 |
---|---|
LBN Legal business name | Broadstone, Melinda C |
Credentials | O.T., M.T., CLT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 14th, 2010 |
Last updated | Jan 14th, 2010 - about 15 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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