Individual
MS. LISA KRISTEN MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
250 INTERNATIONAL PKWY, SUITE 260, LAKE MARY, FL 32746-5030
(800) 509-5872
Mailing address
27190 STARK ST, SUN CITY, CA 92586-2045
(619) 508-4066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
721
CA
224Z00000X
Occupational Therapy Assistant
OC00001187
WA
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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