Melanie Bair, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Daniels, WV

NPI 1376909879 · NPPES record last updated Jan 13, 2016

Key facts

NPI
1376909879
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
C2031 (WV)
Practice address
1631 Ritter Dr
Daniels, WV 25832-9264
Phone
(304) 763-3051
NPI assigned
Jan 13, 2016
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
C2031WVMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X C2031 WV Yes

Addresses

Primary practice location

1631 Ritter Dr
Daniels, WV 25832-9264

Mailing address

1631 Ritter Dr
Daniels, WV 25832-9264
Phone (304) 763-3051

Other names

  • Melanie Farley Former name

Other providers in Daniels, WV

All providers in Daniels, WV · Occupational Therapy Assistant in West Virginia

Sources for this page

Verify at the official NPI Registry.