MEDICARE: MELISSA R JAMES OTD, 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
1	225XP0200X	Pediatric Occupational Therapist	OT.0004579	CO

General Provider Information

NPI Number	:	1518326313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA R JAMES OTD, OTR/L

Provider Business Mailing Address
First Line	:	2210 LELARAY ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-2220
Country	:	US
Telephone Number	:	719-475-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	3326 AUSTIN BLUFFS PKWY STE 110
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-5752
Country	:	US
Telephone Number	:	719-912-2110
Fax Number	:	719-400-0413

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

Provider Enumeration Date	:	02/22/2016
Last Update Date	:	12/27/2023

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