| Doctor Name: | MRS. MELISSA SUE BRILLIOTT |
| NPI Number: | 1114199916 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 112610 |
| Business Practice Address: | 3851roger Brooke Drive Brooke Army Medical Center Fort Sam Houston, TX - 78234 |
| Business Phone Number: | 2109166400 |
| Business Fax Number: | |
| Mailing Address: | 2914 Olmos Creek Dr Apt 11208, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782305463 |
| Phone Number: | 2102550970 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 112610 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |