MEDICARE: MEGAN FERRILLA

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
1	225X00000X	Occupational Therapist	5201011193	MI

General Provider Information

NPI Number	:	1255916193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN FERRILLA

Provider Business Mailing Address
First Line	:	4430 BRIDGEMAN TRL
Second Line	:
City	:	SWARTZ CREEK
State	:	MI
Zip	:	48473-8805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	G-2241 SOUTH LINDEN RD SUITE A
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532
Country	:	US
Telephone Number	:	810-732-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	01/20/2026

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