Provider Demographics
NPI:1588804553
Name:DASHER MORONE, MELANIE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:
Last Name:DASHER MORONE
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 1:8625 ANCHOR ON LANIER CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-6785
Mailing Address - Country:US
Mailing Address - Phone:404-514-4990
Mailing Address - Fax:
Practice Address - Street 1:8625 ANCHOR ON LANIER CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-6785
Practice Address - Country:US
Practice Address - Phone:404-514-4990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002610225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist