Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH MICHAEL MELLUSO, OTR/L
Active Sole ProprietorMR. KEITH MICHAEL MELLUSO, OTR/L is a Occupational Therapist healthcare provider located in ROCKAWAY BEACH, New York. NPI 1033369178 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ROCKAWAY BEACH, NY
Registration Details
- NPI Number
- 1033369178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2008 (17.704546199055 yrs)
- Last Updated
- Sep 25, 2008
- License
-
014130 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7914 ROCKAWAY BEACH BLVD#4GROCKAWAY BEACH, NY, 116932075Browse NY providers · Browse ZIP 11693
- Phone
- 5163141574
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in ROCKAWAY BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| MS. LYNETTE JACQUELINE PERRY | OTR/L | 1790939098 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.