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General NPI Number Information
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NPI Number | 1992199749
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Entity Type | Individual
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Provider Name | MELANIE LEMASTER
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 19205 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6901
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Country | US
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Telephone | 440-268-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 7626 PAWNEE RD
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City | LODI
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State | OH
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Zip | 44254-9765
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Country | US
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Telephone | 330-410-6103
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA.09009
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License Number State | OH
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