Individual
MEGAN GREENAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
6264 FERRIS SQ, SAN DIEGO, CA 92121-3204
(619) 940-4128
Mailing address
1420 BROOKES AVE, SAN DIEGO, CA 92103-5107
(610) 763-1292
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT22509
CA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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