Most Relevant Information
Provider Data
| NPI Number: | 1003531138 |
| Provider Name: | MELISSA RUPPERT COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 057.005375 |
Most Important Dates
| Enumeration Date: | 10/11/2022 |
| Last Updated: | 10/11/2022 |
Provider Practice Location
212 BARNEY DR
JOLIET
IL
604355271
Practice Location Phone/Fax
| Phone: | 8157252194 |
| Fax: |
Provider Mailing Location
15524 130TH PL
LEMONT
IL
604397454
Provider Mailing Phone/Fax
| Phone: | 6302090077 |
| Fax: |