Provider Demographics
NPI:1558139212
Name:BILOUS, MELINDA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:BILOUS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 BROADLANDS WAY
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-8617
Mailing Address - Country:US
Mailing Address - Phone:302-379-9188
Mailing Address - Fax:
Practice Address - Street 1:1716 LEGION RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2390
Practice Address - Country:US
Practice Address - Phone:984-234-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15447225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist