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NPI Code Detail

MEDICARE: MELISSA RENEE PIFER

MEDICARE:   MELISSA RENEE PIFER
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 Assistant3852CA

General Provider Information

NPI Number : 1457847097
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA RENEE PIFER
Provider Business Mailing Address
First Line : 2606 PARKDALE DR
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-2476
Country : US
Telephone Number : 815-641-8204
Fax Number :
Provider Business Practice Location Address
First Line : 14500 FRUITVALE AVE
Second Line :
City : SARATOGA
State : CA
Zip : 95070-6165
Country : US
Telephone Number : 408-741-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2018
Last Update Date : 07/06/2018

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Directions to “ MELISSA RENEE PIFER ” Practice Location

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