Provider Demographics
NPI:1033265061
Name:DRURY, CRISTY MELINDA (OTR L)
Entity Type:Individual
Prefix:MRS
First Name:CRISTY
Middle Name:MELINDA
Last Name:DRURY
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:MRS
Other - First Name:CRISTY
Other - Middle Name:MELINDA
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR L
Mailing Address - Street 1:PO BOX 3022
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:GA
Mailing Address - Zip Code:31816-3022
Mailing Address - Country:US
Mailing Address - Phone:706-846-8494
Mailing Address - Fax:
Practice Address - Street 1:1600 BROADRICK DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3012
Practice Address - Country:US
Practice Address - Phone:866-261-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004119225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist