Individual
MEGAN DANIELLE PHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
344 EDMONDS RD, BAXTER, TN 38544-4023
(931) 265-8071
Mailing address
344 EDMONDS RD, BAXTER, TN 38544-4023
(931) 265-8071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2382
TN
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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