Willis, Melissa L
Willis, Melissa L is an individual health care provider with primary practice located at 4500 W Newberry Rd , Gainesville FL 32607-2245. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Willis, Melissa L can be contacted via phone (352) 336-6000.Contact Information
Primary practice address
4500 W Newberry Rd
Gainesville FL 32607-2245
Phone: (352) 336-6000
Fax: (352) 332-0799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 29073 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT15278 | Florida |
Profile Details
| NPI number | 1598000671 |
|---|---|
| LBN Legal business name | Willis, Melissa L |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2012 |
| Last updated | Mar 4th, 2021 - about 5 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 | 1598000671 | NPPES |
| Florida | Other | OT15278 | OT LICENSE |
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