Lee, Melissa Dawn
Lee, Melissa Dawn is an individual health care provider with primary practice located at 8506 W Deer Valley Rd Ste 105 , Peoria AZ 85382-5385. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lee, Melissa Dawn can be contacted via phone (623) 777-3113.Contact Information
Primary practice address
8506 W Deer Valley Rd Ste 105
Peoria AZ 85382-5385
Phone: (623) 777-3113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | Arizona | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4223 | Arizona |
Profile Details
| NPI number | 1194977462 |
|---|---|
| LBN Legal business name | Lee, Melissa Dawn |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2008 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1194977462 | NPPES |
| Arizona | Other | 810799952 | MEDICARE |
| Arizona | MEDICAID | 810799952 | MEDICARE |
| Arizona | MEDICAID | 1396199477 | MEDICARE |
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