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NPI Code Detail

MEDICARE: MELISSA ANN MCGUIGAN OTR/L

MEDICARE: MELISSA ANN MCGUIGAN 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 Therapist19429FL

General Provider Information

NPI Number : 1154134138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN MCGUIGAN OTR/L
Provider Business Mailing Address
First Line : 5932 WATERCOLOR DR
Second Line :
City : LITHIA
State : FL
Zip : 33547-4075
Country : US
Telephone Number : 860-558-3162
Fax Number :
Provider Business Practice Location Address
First Line : 3916 E HILLSBOROUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4542
Country : US
Telephone Number : 813-236-1755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2025
Last Update Date : 01/31/2025

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