Provider Demographics
NPI:1073999652
Name:GRAFF, MELIA (DPT)
Entity Type:Individual
Prefix:
First Name:MELIA
Middle Name:
Last Name:GRAFF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 PARK ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6716
Mailing Address - Country:US
Mailing Address - Phone:850-890-8535
Mailing Address - Fax:
Practice Address - Street 1:10800 PANAMA CITY BEACH PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-2533
Practice Address - Country:US
Practice Address - Phone:850-588-6852
Practice Address - Fax:850-588-6847
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL306892251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic