Provider Demographics
NPI:1558485599
Name:WESTBROOK, MELANIE A
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:A
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:WESTBROOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:115 DEREK DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-3156
Mailing Address - Country:US
Mailing Address - Phone:530-251-8503
Mailing Address - Fax:530-251-8503
Practice Address - Street 1:555 HOSPITAL LN
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-4808
Practice Address - Country:US
Practice Address - Phone:530-251-8503
Practice Address - Fax:530-251-8503
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner