Healthcare Provider Details

I. General information

NPI: 1427338078
Provider Name (Legal Business Name): MEGHEN K MILINOVICH OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2011
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 GREENE PLZ RT 21 & 79
WAYNESBURG PA
15370-8142
US

IV. Provider business mailing address

625 LINCOLN AVE STE 107 PROFESSIONAL PLAZA
N CHARLEROI PA
15022-2451
US

V. Phone/Fax

Practice location:
  • Phone: 724-852-2504
  • Fax: 724-852-2547
Mailing address:
  • Phone: 724-483-1673
  • Fax: 724-483-0290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1539
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC011888
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: