Provider Demographics
NPI:1154498756
Name:FRENCH, MELISSA L (ATC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:L
Last Name:FRENCH
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 WINCHESTER CATHEDRAL DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8337
Mailing Address - Country:US
Mailing Address - Phone:614-834-9918
Mailing Address - Fax:
Practice Address - Street 1:1313 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3129
Practice Address - Country:US
Practice Address - Phone:614-839-2140
Practice Address - Fax:614-839-2141
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-1264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist