Individual
MRS. MELISSA DAWN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
8506 W DEER VALLEY RD STE 105, PEORIA, AZ 85382-5385
(623) 777-3113
Mailing address
8506 W DEER VALLEY RD STE 105, PEORIA, AZ 85382-5385
(623) 777-3113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4223
AZ
225X00000X
Occupational Therapist
—
AZ
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396199477
—
AZ
01
—
810799952
MEDICARE
AZ
05
—
810799952
—
AZ
Enumeration date
10/17/2008
Last updated
07/21/2022
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