Individual
MRS. MEGHAN W HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
4011 WOODVALLEY DR, AIKEN, SC 29803-8421
(803) 648-4360
Mailing address
222 IRONBARK CT, AIKEN, SC 29803-5040
(803) 642-5512
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1425
—
SC
Enumeration date
01/02/2007
Last updated
07/08/2007
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