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NPI Code Detail

MEDICARE: MELISSA BUFFIN OTR/L

MEDICARE: MELISSA BUFFIN OTR/L
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
1225X00000XOccupational TherapistOT11018CA
2225X00000XOccupational TherapistOT007665GA

General Provider Information

NPI Number : 1578894283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA BUFFIN OTR/L
Provider Business Mailing Address
First Line : 1230 JOHNSON FERRY PL STE G10
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2045
Country : US
Telephone Number : 770-321-6705
Fax Number : 760-944-4265
Provider Business Practice Location Address
First Line : 1230 JOHNSON FERRY PL STE G10
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2045
Country : US
Telephone Number : 770-321-6705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2010
Last Update Date : 08/11/2020

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Directions to “ MELISSA BUFFIN OTR/L” Practice Location

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