Healthcare Provider Details

I. General information

NPI: 1356750723
Provider Name (Legal Business Name): MEGAN OHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2014
Last Update Date: 08/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3023 WILMINGTON RD
NEW CASTLE PA
16105-1242
US

IV. Provider business mailing address

107 HOLLYWOOD BLVD
GREENVILLE PA
16125-1310
US

V. Phone/Fax

Practice location:
  • Phone: 855-270-1397
  • Fax:
Mailing address:
  • Phone: 724-456-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: