Provider Demographics
NPI:1528003274
Name:THURLOW, MELISSA CATHCART (OTRL,CHT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CATHCART
Last Name:THURLOW
Suffix:
Gender:F
Credentials:OTRL,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5089 BRIDGEPORT WAY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1713
Mailing Address - Country:US
Mailing Address - Phone:770-441-7722
Mailing Address - Fax:
Practice Address - Street 1:5089 BRIDGEPORT WAY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-1713
Practice Address - Country:US
Practice Address - Phone:770-441-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000621225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand