Provider Demographics
NPI:1780025908
Name:MCCRAW, MELISSA H (MSOTR/L)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:H
Last Name:MCCRAW
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:H
Other - Last Name:ENGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6312 PICCADILLY SQUARE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-5143
Mailing Address - Country:US
Mailing Address - Phone:251-278-0378
Mailing Address - Fax:251-287-0466
Practice Address - Street 1:6312 PICCADILLY SQUARE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5143
Practice Address - Country:US
Practice Address - Phone:251-278-0378
Practice Address - Fax:251-287-0466
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3605225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist