Melissa Rose Stirewalt, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Atkinson, NC

NPI 1528293024 · NPPES record last updated May 27, 2009

Key facts

NPI
1528293024
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
6999 (NC)
Practice address
54 Dan Hales Dr
Atkinson, NC 28421-9265
Phone
(910) 231-8839
NPI assigned
May 27, 2009
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6999 NC Yes

Addresses

Primary practice location

54 Dan Hales Dr
Atkinson, NC 28421-9265

Mailing address

54 Dan Hales Dr
Atkinson, NC 28421-9265
Phone (910) 231-8839

Other providers in Atkinson, NC

All providers in Atkinson, NC · Occupational Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.