Individual
NATHAN MELITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 COLORADO AVE, PUEBLO, CO 81004-2011
(719) 547-9006
Mailing address
412 COLORADO AVE, PUEBLO, CO 81004-2011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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