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NPI Code Detail

MEDICARE: MELISSA M BEACH OT

MEDICARE:   MELISSA M BEACH  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 Therapist31005018AIN

General Provider Information

NPI Number : 1679880496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA M BEACH OT
Provider Business Mailing Address
First Line : PO BOX 922
Second Line :
City : EVANSVILLE
State : IN
Zip : 47706-0922
Country : US
Telephone Number : 866-309-5567
Fax Number : 812-491-1269
Provider Business Practice Location Address
First Line : 5828 PEARL DR
Second Line :
City : EVANSVILLE
State : IN
Zip : 47712-8116
Country : US
Telephone Number : 812-437-1420
Fax Number : 812-437-1425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2010
Last Update Date : 04/14/2026

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Directions to “ MELISSA M BEACH OT” Practice Location

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