Provider Demographics
NPI:1427824002
Name:GLEASON, MELISSA LYNNE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LYNNE
Last Name:GLEASON
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:LYNNE
Other - Last Name:LAVORGNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:587 ORONOQUE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-1752
Mailing Address - Country:US
Mailing Address - Phone:203-687-8340
Mailing Address - Fax:
Practice Address - Street 1:587 ORONOQUE RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-1752
Practice Address - Country:US
Practice Address - Phone:203-687-8340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics