Healthcare Provider Details

I. General information

NPI: 1255321618
Provider Name (Legal Business Name): MEGAN BRISTOW OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN FRENCH OTR/L, CHT

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16528 E DESMET CT STE B2200
SPOKANE VALLEY WA
99216-3522
US

IV. Provider business mailing address

PO BOX 421
LIBERTY LAKE WA
99019-0421
US

V. Phone/Fax

Practice location:
  • Phone: 509-944-8920
  • Fax: 509-227-7070
Mailing address:
  • Phone: 866-747-2455
  • Fax: 509-944-9644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT00003865
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT00003865
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT00003865
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: