Melissa Dolores Mcdivitt
Occupational Therapy Assistant
128 Frances Meeks Way
Richmond Hill
, Georgia 31324-3983
Melissa Dolores Mcdivitt
Occupational Therapy Assistant
128 Frances Meeks Way
Richmond Hill
, Georgia 31324-3983
(321) 480-1274
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Melissa Dolores Mcdivitt
- 977 Birchfield Dr
- Hinesville, GA
- Zip : 31313-6478
- Phone : (321) 480-1274
Second Address
- Melissa Dolores Mcdivitt
- 128 Frances Meeks Way
- Richmond Hill, GA
- Zip : 31324-3983
- Phone : (912) 727-2321
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA001464 | GA |
National Provider Identifier
| NPI | 1013269299 |
|---|---|
| Provider Name | Melissa Dolores Mcdivitt |
| First Address | Hinesville, GA 31313-6478 |
| Second Address | Richmond Hill, GA 31324-3983 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2012 |
| Last Update Date | 11/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.