Provider Demographics
NPI:1477704799
Name:BENSCOTER, MELISSA LEA (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LEA
Last Name:BENSCOTER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LEADER DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1943
Mailing Address - Country:US
Mailing Address - Phone:570-323-8627
Mailing Address - Fax:
Practice Address - Street 1:300 LEADER DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1943
Practice Address - Country:US
Practice Address - Phone:570-323-8627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007705225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist