Healthcare Provider Details

I. General information

NPI: 1134603459
Provider Name (Legal Business Name): MEGAN HOLLAR MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 2ND ST NE STE 101
HICKORY NC
28601-3878
US

IV. Provider business mailing address

858 2ND ST NE STE 101
HICKORY NC
28601-3878
US

V. Phone/Fax

Practice location:
  • Phone: 828-322-7826
  • Fax:
Mailing address:
  • Phone: 828-322-7826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number8897
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: