National Provider Identifier

Melinda J Brocklebank

Melinda J Brocklebank is listed in the NPPES registry with a primary specialty of Occupational Therapist in Canandaigua, NY and a listed phone number of (315) 521-0958.

NPI 1649611880Canandaigua, NYOccupational Therapist

Profile Overview

NPI
1649611880
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
July 16, 2013
Last Updated
July 16, 2013

Practice Location

  • 2504 Cooley RD
  • Canandaigua, NY 14424-7948

Phone: (315) 521-0958

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1649611880
Entity Type
Individual
Last Name
Brocklebank
First Name
Melinda
Middle Name
J
Mailing Street Address
2504 Cooley RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-7948
Mailing Country
US
Mailing Phone
(315) 521-0958
Practice Street Address
2504 Cooley RD
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-7948
Practice Country
US
Practice Phone
(315) 521-0958
Enumeration Date
July 16, 2013
Last Updated
July 16, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)