Healthcare Provider Details

I. General information

NPI: 1134971427
Provider Name (Legal Business Name): MEGAN E SERONI MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN E ALBERT MSOT, OTR/L

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1134 N MAIN ST
ALGONQUIN IL
60102-3482
US

IV. Provider business mailing address

1134 N MAIN ST
ALGONQUIN IL
60102-3482
US

V. Phone/Fax

Practice location:
  • Phone: 224-864-9491
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: