Individual provider · Type 1 NPI
Melissa Jervis, COTA/L
Specialist · Coral Gables, FL
NPI number
1902259450
Active
Practice location
2955 SW 22nd St
Coral Gables, FL 33145-3205
Mailing address
13812 SW 275th St
Homestead, FL 33032-3204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OTA13912 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1902259450
Melissa Jervis, COTA/L's National Provider Identifier is 1902259450, issued on Jul 20, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coral Gables, FL. The record was last updated on Jul 20, 2016.