Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6062 | CA |
NPI | 1043481427 |
---|---|
Provider Name | Mrs. Melissa Ann Scott |
First Address | Aptos, CA 95003-3981 |
Second Address | Aptos, CA 95003-3981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 13/03/2008 |