Provider Demographics
NPI:1528286549
Name:LEMME, MICHELLE MARIE (OTR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:LEMME
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-9762
Mailing Address - Country:US
Mailing Address - Phone:518-330-9336
Mailing Address - Fax:
Practice Address - Street 1:5675 WHITAKER RD
Practice Address - Street 2:APT. 102B
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-2917
Practice Address - Country:US
Practice Address - Phone:518-330-9336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 12553225X00000X
NY013779225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist