Provider Demographics
NPI:1407181381
Name:EDWARDS, MELANIE JEAN (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JEAN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 HIGHLAND TRL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8644
Mailing Address - Country:US
Mailing Address - Phone:919-219-4870
Mailing Address - Fax:888-284-4810
Practice Address - Street 1:703 HIGHLAND TRL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8644
Practice Address - Country:US
Practice Address - Phone:919-968-4580
Practice Address - Fax:919-968-4580
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist