Individual
MEGAN L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
204 SUNRISE BLUFF LN, SMITHFIELD, VA 23430-2318
(757) 613-1947
Mailing address
204 SUNRISE BLUFF LN, SMITHFIELD, VA 23430-2318
(757) 613-1947
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119003960
VA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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