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NPI Code Detail

MEDICARE: MELISSA SCHLEGEL M.S. OT

MEDICARE: MELISSA SCHLEGEL M.S. OT
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 TherapistP84181NY

General Provider Information

NPI Number : 1164786190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SCHLEGEL M.S. OT
Provider Business Mailing Address
First Line : 159 W 1ST STREET
Second Line :
City : OSWEGO
State : NY
Zip : 13126
Country : US
Telephone Number : 315-342-9575
Fax Number : 315-342-7664
Provider Business Practice Location Address
First Line : 20 MANOR DR
Second Line :
City : OSWEGO
State : NY
Zip : 13126-6495
Country : US
Telephone Number : 315-349-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 06/25/2012

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