Individual
MEGAN BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
16528 E DESMET CT STE B2200, SPOKANE VALLEY, WA 99216-3522
(509) 944-8920
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 944-9644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00003865
WA
225XE1200X
Ergonomics Occupational Therapist
OT00003865
WA
225XH1200X
Hand Occupational Therapist
Primary
OT00003865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650009047
RAILROAD MEDICARE
WA
05
—
8390395
—
WA
01
—
CN2416
RAILROAD MEDICARE GROUP
WA
01
—
P00146690
RAILROAD MEDICARE INDIVIDUAL
WA
Enumeration date
10/26/2005
Last updated
08/25/2023
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