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NPI Code Detail

MEDICARE: MELANIE IRENE THOMPSON OTR/L

MEDICARE:   MELANIE IRENE THOMPSON  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
1225XP0200XPediatric Occupational Therapist3009AZ
2225X00000XOccupational TherapistOTH-003009AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427119304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE IRENE THOMPSON OTR/L
Provider Business Mailing Address
First Line : 25759 S 194TH ST
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-6106
Country : US
Telephone Number : 602-793-9676
Fax Number :
Provider Business Practice Location Address
First Line : 108 W UNIVERSITY DR
Second Line :
City : MESA
State : AZ
Zip : 85201-5818
Country : US
Telephone Number : 480-688-1917
Fax Number : 480-668-2750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 03/25/2025

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Directions to “ MELANIE IRENE THOMPSON OTR/L” Practice Location

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