Fortenberry, Melissa M
Fortenberry, Melissa M is an individual health care provider with primary practice located at 4141 Southwest Fwy Suite 100, Houston TX 77027-7313. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Fortenberry, Melissa M can be contacted via phone (713) 669-0042.Contact Information
Primary practice address
4141 Southwest Fwy Suite 100
Houston TX 77027-7313
Phone: (713) 669-0042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | 107939 | Texas |
Profile Details
| NPI number | 1639122674 |
|---|---|
| LBN Legal business name | Fortenberry, Melissa M |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Dec 28th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639122674 | NPPES |
| Texas | Other | 107939 | LISCENSE |
| Texas | Other | 1016955 | LISCENSE |
| Texas | Other | P00357763 | LISCENSE |
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