Individual
MEGAN HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
414 SE DOUGLAS ST, LEES SUMMIT, MO 64063-4247
(816) 589-7879
Mailing address
414 SE DOUGLAS ST, LEES SUMMIT, MO 64063-4247
(816) 589-7879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-03502
KANSAS STATE BOARD OF HEALIN ARTS
KS
01
—
2018040576
BOARD OF OCCUPATIONAL THERAPY OF MISSOURI
MO
01
—
410662
NATIONAL BOARD FOR CERTIFICATION IN OCC
—
Enumeration date
12/28/2018
Last updated
12/28/2018
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