Individual
MEREDITH NACKLEY
Active
Individual
MEREDITH NACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201009134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201009134
STATE OF MICHIGAN
MI
Enumeration date
06/05/2015
Last updated
06/05/2015
Update your record
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