National Provider Identifier
Melissa Kingston, M.S.ORT/L
Melissa Kingston, M.S.ORT/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Brockport, NY and a listed phone number of (585) 341-9200.
Profile Overview
- NPI
- 1508302159
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- January 06, 2017
- Last Updated
- April 21, 2020
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 341-9200
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1508302159
- Entity Type
- Individual
- Last Name
- Kingston
- First Name
- Melissa
- Credential
- M.S.ORT/L
- Mailing Street Address
- 156 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 341-9200
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 341-9200
- Enumeration Date
- January 06, 2017
- Last Updated
- April 21, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 21, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)