Individual
MRS. MEGAN LORRAINE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
210 BEAR HILL RD STE 401, WALTHAM, MA 02451-1025
(781) 790-8479
Mailing address
646 HIGH ST, WESTWOOD, MA 02090-1630
(781) 801-3921
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12853
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404884
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
MA
Enumeration date
01/28/2019
Last updated
01/14/2021
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