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NPI Code Detail

MEDICARE: MELISSA MCDONALD OTR/L

MEDICARE:   MELISSA  MCDONALD  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 Therapist60828743WA

General Provider Information

NPI Number : 1942435938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MCDONALD OTR/L
Provider Business Mailing Address
First Line : 32504 NE 45TH ST
Second Line :
City : CARNATION
State : WA
Zip : 98014-8726
Country : US
Telephone Number : 206-561-6862
Fax Number :
Provider Business Practice Location Address
First Line : 9050 384TH AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-9637
Country : US
Telephone Number : 425-888-3347
Fax Number : 425-888-3348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 05/30/2023

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1710014329 — NANNETTE MARIE KRUEGER OTR
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1417106618 — MRS. MELISHA ANNE BUDWORTH M.S. CCC-SLP
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1285987834 — KIMBRE LEIGH HALL MS, OTR/L
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Directions to “ MELISSA MCDONALD OTR/L” Practice Location

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