Melinda Mayer, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · New Waterford, OH

NPI 1992491864 · NPPES record last updated Apr 13, 2023

Key facts

NPI
1992491864
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA16816 (FL)
Practice address
47808 Hisey Rd
New Waterford, OH 44445-9717
Phone
(330) 519-6114
NPI assigned
Apr 13, 2023
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
OTA16816FLMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16816 FL Yes

Addresses

Primary practice location

47808 Hisey Rd
New Waterford, OH 44445-9717

Mailing address

47808 Hisey Rd
New Waterford, OH 44445-9717
Phone (330) 519-6114

Other providers in New Waterford, OH

All providers in New Waterford, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.