MEDICARE: MEGAN ROSE HARTSELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1114889771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ROSE HARTSELL

Provider Business Mailing Address
First Line	:	PO BOX 184
Second Line	:
City	:	GREAT VALLEY
State	:	NY
Zip	:	14741-0184
Country	:	US
Telephone Number	:	716-257-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 184
Second Line	:
City	:	GREAT VALLEY
State	:	NY
Zip	:	14741-0184
Country	:	US
Telephone Number	:	716-257-2034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ MEGAN ROSE HARTSELL ” Practice Location

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