Melinda Dawn Bernal, OTR/L

Individual provider Active NPI Occupational Therapist · Belen, NM

NPI 1194028480 · NPPES record last updated Dec 8, 2010

Key facts

NPI
1194028480
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
846 (NM)
Practice address
38 Anaya Rd
Belen, NM 87002-7569
Phone
(505) 864-7812
Fax
(505) 864-7812
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
846NMMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 846 NM Yes

Addresses

Primary practice location

38 Anaya Rd
Belen, NM 87002-7569

Mailing address

38 Anaya Rd
Belen, NM 87002-7569
Phone (505) 864-7812

Other providers in Belen, NM

All providers in Belen, NM · Occupational Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.