Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT17956 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT17956 | FL |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT17956 | FL |
NPI | 1083102156 |
---|---|
Provider Name | Melinda J Drouin |
First Address | Wesley Chapel, FL 33544-2014 |
Second Address | Wesley Chapel, FL 33545-4151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2018 |
Last Update Date | 25/04/2018 |