Provider Demographics
NPI:1538911474
Name:STOKES, MELISSA DEON (OT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DEON
Last Name:STOKES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:D
Other - Last Name:LANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3016 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-4743
Mailing Address - Country:US
Mailing Address - Phone:318-445-4455
Mailing Address - Fax:318-445-5574
Practice Address - Street 1:3016 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-4743
Practice Address - Country:US
Practice Address - Phone:318-445-4455
Practice Address - Fax:318-445-5574
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA340978225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist