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Individual

MEGAN ELIZABETH SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
620 E MAIN ST, WEST LAFAYETTE, OH 43845-1267
(740) 545-6355
Mailing address
36159 COUNTY ROAD 70, WARSAW, OH 43844-9789
(740) 575-2542

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
04589
OH
225X00000X
Occupational Therapist
Primary
OT011787
OH

Other

Enumeration date
01/26/2012
Last updated
01/18/2022
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