Provider Demographics
NPI:1063764314
Name:CAPULONG-SCHWARTZ, MELODY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:
Last Name:CAPULONG-SCHWARTZ
Suffix:
Gender:F
Credentials: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:PSC 482 BOX 2936
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-2999
Mailing Address - Country:US
Mailing Address - Phone:0903-795-9590
Mailing Address - Fax:
Practice Address - Street 1:PSC 482
Practice Address - Street 2:US NAVAL HOSPITAL, OKINAWA, COMMANDING OFFICER
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96362-9998
Practice Address - Country:US
Practice Address - Phone:01181611-743-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA296835225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist