Lee, Melissa Dawn

Lee, Melissa Dawn is an individual health care provider with primary practice located at 8506 W Deer Valley Rd Ste 105 , Peoria AZ 85382-5385. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Lee, Melissa Dawn can be contacted via phone (623) 777-3113.

Contact Information

Primary practice address
8506 W Deer Valley Rd Ste 105 Peoria AZ 85382-5385
Fax:
Website:

Profile Details

NPI number 1194977462
LBN Legal business name Lee, Melissa Dawn
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194977462 NPPES
Arizona Other 810799952 MEDICARE
Arizona MEDICAID 810799952 MEDICARE
Arizona MEDICAID 1396199477 MEDICARE

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