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NPI Code Detail

MEDICARE: MELODY LEE

MEDICARE: MELODY LEE
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
1225XP0200XPediatric Occupational Therapist10-0055NV

General Provider Information

NPI Number : 1588972939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY LEE
Provider Business Mailing Address
First Line : 855 SPRINGDALE DRIVE #200
Second Line :
City : EXTON
State : PA
Zip : 19341
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7361 PRAIRIE FALCON RD STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0824
Country : US
Telephone Number : 702-804-1511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2010
Last Update Date : 12/08/2011

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Directions to “ MELODY LEE ” Practice Location

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