Most Relevant Information
Provider Data
| NPI Number: | 1003273624 |
| Provider Name: | MELINDA UNDERWOOD OTLP |
| Entity Type: | Individual |
| Taxonomy Code: | 225XG0600X |
| Specialty: | Occupational Therapist |
| License Number: | 10095 |
Most Important Dates
| Enumeration Date: | 01/27/2016 |
| Last Updated: | 03/07/2018 |
Provider Practice Location
9618 GARDEN GROVE BLVD
GARDEN GROVE
CA
928441563
Practice Location Phone/Fax
| Phone: | 7145303115 |
| Fax: |
Provider Mailing Location
2140 LOGGIA
NEWPORT BEACH
CA
926609041
Provider Mailing Phone/Fax
| Phone: | 9492801888 |
| Fax: |