NPI 1750778627

Melissa Southard

Practitioner Occupational Therapy Assistant Canon City, CO

Practice location

Address: 1401 Phay Ave, Canon City, CO 81212-2303
Phone: (719) 275-8656
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0000928 (CO)

Other Occupational Therapy Assistant providers in Colorado →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 6144 (AZ)

Registry record

NPI: 1750778627
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2015
Record last updated: 17 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.