Individual
MRS. MEGHAN ELIZABETH PROVINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
382 BLACKBROOK RD, PAINESVILLE, OH 44077-1294
(440) 350-2563
Mailing address
382 BLACKBROOK RD, PAINESVILLE, OH 44077-1294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007135
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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