Healthcare Provider Details

I. General information

NPI: 1235589573
Provider Name (Legal Business Name): MEGAN WOODBERRY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN REAMER

II. Dates (important events)

Enumeration Date: 06/17/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MAIN ST STE 14
BRATTLEBORO VT
05301-2868
US

IV. Provider business mailing address

PO BOX 162
EAST DOVER VT
05341-0162
US

V. Phone/Fax

Practice location:
  • Phone: 802-319-9319
  • Fax: 802-341-3105
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: