Provider Demographics
NPI:1841634599
Name:PIECZYNSKI, MELISSA (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:PIECZYNSKI
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2680 ALAMEDA DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2492
Mailing Address - Country:US
Mailing Address - Phone:757-430-9867
Mailing Address - Fax:
Practice Address - Street 1:2680 ALAMEDA DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2492
Practice Address - Country:US
Practice Address - Phone:757-430-9867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01190000238225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist