Provider Demographics
NPI:1033410659
Name:SAAVEDRA, MELISSA CLARE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CLARE
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:CLARE
Other - Last Name:HICKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1638 TIFFANY RDG
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3236
Mailing Address - Country:US
Mailing Address - Phone:412-777-6231
Mailing Address - Fax:412-777-6528
Practice Address - Street 1:30 HECKEL RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1652
Practice Address - Country:US
Practice Address - Phone:412-777-6231
Practice Address - Fax:412-777-6528
Is Sole Proprietor?:No
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005147L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist