Provider Demographics
NPI:1831837756
Name:BOBBITT, MELISSA KAYE (OTR)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:KAYE
Last Name:BOBBITT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:KAYE
Other - Last Name:TEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:160 ISLANDER CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4925
Mailing Address - Country:US
Mailing Address - Phone:407-767-6600
Mailing Address - Fax:
Practice Address - Street 1:160 ISLANDER CT
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4925
Practice Address - Country:US
Practice Address - Phone:407-767-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT9447225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist