Healthcare Provider Details

I. General information

NPI: 1932014701
Provider Name (Legal Business Name): MEGAN ELIZABETH EDWARDS COLLINS PH.D., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W 30TH ST
WINSTON SALEM NC
27105-4212
US

IV. Provider business mailing address

7164 BLACKMOOR RD
KERNERSVILLE NC
27284-8614
US

V. Phone/Fax

Practice location:
  • Phone: 336-750-3178
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: