Provider Demographics
NPI:1639454929
Name:MELCHER, ERIN L (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:MELCHER
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 1:14406 N CREEK DR
Mailing Address - Street 2:APT 1333
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-5352
Mailing Address - Country:US
Mailing Address - Phone:360-659-3926
Mailing Address - Fax:360-658-0555
Practice Address - Street 1:1821 GROVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4329
Practice Address - Country:US
Practice Address - Phone:360-659-3926
Practice Address - Fax:360-658-0555
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004440225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist