Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 46TR00581600 | NJ |
Y | 225XH1200X | Occupational Therapist - Hand | OC012757 | PA |
NPI | 1013276534 |
---|---|
Provider Name | Mrs. Melissa Ann Chappell |
First Address | Annandale, NJ 08801-3129 |
Second Address | Annandale, NJ 08801-3129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2012 |
Last Update Date | 16/04/2013 |