Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melissa Nuckolls, OTR/L

Individual provider Occupational Therapist · NPI 1013741958

Melissa Nuckolls, OTR/L is an Occupational Therapist in Hayward, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1633 Industrial Pkwy W
Hayward, CA 94544-7046
Phone: (650) 862-9753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29516 Kohoutek Way, Union City, CA 94587-1221 — (650) 862-9753

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 25343 (CA)

Record details

NPI number1013741958
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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