Individual
BETHANY MELLO
Active
Individual
BETHANY MELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025823
NYS OT LICENSE NUMBER
NY
Enumeration date
10/18/2021
Last updated
01/03/2022
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