Melissa Mary Dalton, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Pleasant Hill, TN

NPI 1366906901 · NPPES record last updated Jan 28, 2019

Key facts

NPI
1366906901
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1086 (TN)
Practice address
86A Church Dr
Pleasant Hill, TN 38578-3000
Phone
(931) 787-3685
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

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
1086TNMDKinesiotherapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1086 TN Yes

Addresses

Primary practice location

86A Church Dr
Pleasant Hill, TN 38578-3000

Mailing address

394 Ashburn Dr
Rockwood, TN 37854-7234
Phone (865) 394-6628

Other providers in Pleasant Hill, TN

All providers in Pleasant Hill, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.