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NPI Code Detail

MEDICARE: MEAGAN ROMERO

MEDICARE: MEAGAN ROMERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT-2024-0141NM

General Provider Information

NPI Number : 1013535871
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN ROMERO
Provider Business Mailing Address
First Line : PO BOX 143
Second Line :
City : VADITO
State : NM
Zip : 87579-0143
Country : US
Telephone Number : 575-770-2876
Fax Number :
Provider Business Practice Location Address
First Line : 1214 NATIONAL AVE
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4033
Country : US
Telephone Number : 505-426-8095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 03/16/2025

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Directions to “ MEAGAN ROMERO ” Practice Location

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