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NPI Code Detail

MEDICARE: MEGEN MYERS OTR/L

MEDICARE: MEGEN MYERS OTR/L
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 TherapistOT16959FL

General Provider Information

NPI Number : 1689200909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGEN MYERS OTR/L
Provider Business Mailing Address
First Line : 4016 MARLOW LOOP
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-4069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1114 CHATMAN BLVD
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34601-3104
Country : US
Telephone Number : 352-796-6701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2020
Last Update Date : 03/18/2020

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