Provider Demographics
NPI:1922438936
Name:CRAPAROTTA, MELISSA (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:CRAPAROTTA
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42700 GARFIELD RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-4201
Mailing Address - Country:US
Mailing Address - Phone:586-532-3376
Mailing Address - Fax:
Practice Address - Street 1:42700 GARFIELD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-4201
Practice Address - Country:US
Practice Address - Phone:586-532-3376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005202225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics