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Individual

MEGAN R FEAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7927 E HIGHWAY 318, CITRA, FL 32113-2761
(850) 728-8164
Mailing address
7927 E HIGHWAY 318, CITRA, FL 32113-2761
(850) 728-8164

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT18178
OT LICENSE
FL
Enumeration date
12/28/2016
Last updated
06/21/2022
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