Individual
MEGHAN DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
27212 N 81ST LN, PEORIA, AZ 85383-6286
(623) 633-1569
Mailing address
27212 N 81ST LN, PEORIA, AZ 85383-6286
(623) 633-1569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
7413
AZ
225X00000X
Occupational Therapist
Primary
OTH-007413
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380198
—
AZ
Enumeration date
03/18/2018
Last updated
12/05/2018
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