MEDICARE: MEGAN ELIZABETH BUSHWAY

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	3833	NH

General Provider Information

NPI Number	:	1548071012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH BUSHWAY

Provider Business Mailing Address
First Line	:	21 DEERNECK LN
Second Line	:
City	:	AUBURN
State	:	NH
Zip	:	03032-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 LOWELL RD
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-1814
Country	:	US
Telephone Number	:	603-845-1554
Fax Number	:

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

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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Directions to “ MEGAN ELIZABETH BUSHWAY ” Practice Location

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