Provider Demographics
NPI:1316331473
Name:COPELAND, MELANIE M
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:M
Last Name:COPELAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 GREYSTONE COMM BLVD
Mailing Address - Street 2:SUITE 34
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-9601
Mailing Address - Country:US
Mailing Address - Phone:205-745-3651
Mailing Address - Fax:205-408-4209
Practice Address - Street 1:2807 GREYSTONE COMM BLVD
Practice Address - Street 2:SUITE 34
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-9601
Practice Address - Country:US
Practice Address - Phone:205-745-3651
Practice Address - Fax:205-408-4209
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7407225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist