MR. Keith Michael Melluso, OTR/L
NPI #1033369178 in Rockaway Beach, New York
Provider Information
- NPI Number
- 1033369178
- Entity Type
- Individual
- Name
- MR. Keith Michael Melluso, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Sep 25, 2008
- Last Updated
- Sep 25, 2008
Practice Location
- Address
- 7914 ROCKAWAY BEACH BLVD
- Address 2
- #4G
- City
- Rockaway Beach
- State
- New York
- ZIP Code
- 11693-2075
- Phone
- (516) 314-1574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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