Individual
MEGAN DZIMIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 229-7808
Mailing address
15380 W FILLMORE ST APT 1039, GOODYEAR, AZ 85338-4669
(630) 729-4438
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOH839930332
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/07/2022
Last updated
11/07/2022
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