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NPI Code Detail

MEDICARE: STEPHANIE MELIA

MEDICARE: STEPHANIE MELIA
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 AssistantOTA 3358OH

General Provider Information

NPI Number : 1568584175
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MELIA
Provider Business Mailing Address
First Line : 3099 KIRKLEVINGTON DR APT 39
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-2471
Country : US
Telephone Number : 330-715-2405
Fax Number :
Provider Business Practice Location Address
First Line : 303 N HURSTBOURNE PKWY STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5158
Country : US
Telephone Number : 502-412-5847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/11/2014

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Directions to “ STEPHANIE MELIA ” Practice Location

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