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NPI Code Detail

MEDICARE: MELISSA MCKENRICK

MEDICARE: MELISSA MCKENRICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1326703562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MCKENRICK
Provider Business Mailing Address
First Line : 3894 MEADOWLARK LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-3530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4320 BRIDGETOWN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-4428
Country : US
Telephone Number : 513-574-4550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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Directions to “ MELISSA MCKENRICK ” Practice Location

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