Individual
MELISSA K LEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
(219) 763-4858
Mailing address
5225 N FALLS CHURCH CT, SOUTH BEND, IN 46614-5944
(574) 286-0218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004351A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31004351A
OTR
IN
Enumeration date
07/12/2007
Last updated
07/12/2007
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