Provider Demographics
NPI:1063252682
Name:MELLING, ZACHARY O'DELL (DPT, PT)
Entity type:Individual
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First Name:ZACHARY
Middle Name:O'DELL
Last Name:MELLING
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:20347 TIMBERLAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7352
Mailing Address - Country:US
Mailing Address - Phone:434-324-9750
Mailing Address - Fax:434-509-1695
Practice Address - Street 1:527 POCKET RD
Practice Address - Street 2:
Practice Address - City:HURT
Practice Address - State:VA
Practice Address - Zip Code:24563-2023
Practice Address - Country:US
Practice Address - Phone:434-324-9750
Practice Address - Fax:434-509-1695
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305216818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist