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NPI Code Detail

MEDICARE: MELISSA DRAKE HUTCHINSON COTA/L

MEDICARE: MELISSA DRAKE HUTCHINSON COTA/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
1224Z00000XOccupational Therapy Assistant0000874CO

General Provider Information

NPI Number : 1023529112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DRAKE HUTCHINSON COTA/L
Provider Business Mailing Address
First Line : 5318 CRACKER BARREL CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-1804
Country : US
Telephone Number : 205-353-1224
Fax Number :
Provider Business Practice Location Address
First Line : 3625 PARKMOOR VILLAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5205
Country : US
Telephone Number : 205-353-1224
Fax Number : 205-353-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 10/17/2017

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