Provider Demographics
NPI:1639766306
Name:SWEET, MELINDA DELGADO (OTA)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:DELGADO
Last Name:SWEET
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 AMBER LN
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2283
Mailing Address - Country:US
Mailing Address - Phone:214-507-3165
Mailing Address - Fax:
Practice Address - Street 1:951 AMBER LN
Practice Address - Street 2:
Practice Address - City:OAK POINT
Practice Address - State:TX
Practice Address - Zip Code:75068-2283
Practice Address - Country:US
Practice Address - Phone:214-507-3165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208181224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208181OtherOT BOARD OF EXAMINERS