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Contact Information

MELISSA J KNICKERBOCKER, OTR/L
45 MERIDEN AVE
SOUTHINGTON, CT06489-3214
 Phone: 860-378-1234
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MELISSA J KNICKERBOCKER · (Female)

NPI Number 1154501716
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 11/11/2007
Last updated 11/11/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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