MEDICARE: MELANIE HARRINGTON

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
1	225X00000X	Occupational Therapist		CA

General Provider Information

NPI Number	:	1477036804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE HARRINGTON

Provider Business Mailing Address
First Line	:	6620 FILBERT AVE
Second Line	:
City	:	ORANGEVALE
State	:	CA
Zip	:	95662-3551
Country	:	US
Telephone Number	:	650-235-5449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 3RD ST
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-1576
Country	:	US
Telephone Number	:	650-235-5449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	09/11/2018

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Directions to “ MELANIE HARRINGTON ” Practice Location

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