Provider Demographics
NPI:1932645728
Name:SLAIBE, EMMY MELISSA (OTR/L)
Entity Type:Individual
Prefix:
First Name:EMMY
Middle Name:MELISSA
Last Name:SLAIBE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4285 PINE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-5041
Mailing Address - Country:US
Mailing Address - Phone:954-682-0367
Mailing Address - Fax:
Practice Address - Street 1:4285 PINE RIDGE CT
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-5041
Practice Address - Country:US
Practice Address - Phone:954-682-0367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist