Healthcare Provider Details

I. General information

NPI: 1710285853
Provider Name (Legal Business Name): MEGAN ALISSA COATE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2011
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 RESEARCH BLVD SUITE 110
ROCKVILLE MD
20850-3204
US

IV. Provider business mailing address

4400 E WEST HWY STE 32
BETHESDA MD
20814-4501
US

V. Phone/Fax

Practice location:
  • Phone: 301-424-5200
  • Fax: 301-424-8063
Mailing address:
  • Phone: 301-951-0303
  • Fax: 954-756-9593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number06241
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: