MEDICARE: MEGHAN PETERS

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	0119007046	VA

General Provider Information

NPI Number	:	1689459075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN PETERS

Provider Business Mailing Address
First Line	:	1088 AUGUSTA FARMS RD
Second Line	:
City	:	STUARTS DRAFT
State	:	VA
Zip	:	24477-3200
Country	:	US
Telephone Number	:	540-946-7611
Fax Number	:

Provider Business Practice Location Address
First Line	:	1088 AUGUSTA FARMS RD
Second Line	:
City	:	STUARTS DRAFT
State	:	VA
Zip	:	24477-3200
Country	:	US
Telephone Number	:	540-946-7611
Fax Number	:

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

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	08/25/2023

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Directions to “ MEGHAN PETERS ” Practice Location

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