Individual
MELANIE BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 ROSEWOOD LN, BLUFFTON, SC 29910-9347
(516) 428-1057
Mailing address
24 ROSEWOOD LN, BLUFFTON, SC 29910-9347
(516) 428-1057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1264
CO
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
1264
CO
225XP0200X
Pediatric Occupational Therapist
1264
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041514
NBCOT
—
01
—
1264
DORA LICENSE
CO
Enumeration date
10/24/2017
Last updated
11/02/2018
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