MEDICARE: MEGAN KRISTINE CANNON 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
1	225XP0200X	Pediatric Occupational Therapist	11681	NC

General Provider Information

NPI Number	:	1710484878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KRISTINE CANNON OTR/L

Provider Business Mailing Address
First Line	:	334 SOMERSET DR
Second Line	:
City	:	RAEFORD
State	:	NC
Zip	:	28376-5437
Country	:	US
Telephone Number	:	218-348-7124
Fax Number	:

Provider Business Practice Location Address
First Line	:	9621 BITTER MELON DR
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-5917
Country	:	US
Telephone Number	:	919-275-9675
Fax Number	:

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

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	04/06/2018

Similar Medicare Providers

1407667934 — LAUREN HILL
Practice Location Address:

9621 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-275-9675
Practice Fax:

1558348276 — EDWIN YAEGER DO
Practice Location Address:

9633 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-639-8900
Practice Fax:

1992782668 — GLENN TRIPP PA
Practice Location Address:

9633 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-639-8900
Practice Fax: 919-639-9500

1023230729 — DR. DAVID ALAN PETERSON MD
Practice Location Address:

9633 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-639-8900
Practice Fax: 919-639-9500

1790935930 — DR. CALISTA IJEOMA CHUKWU PHARMACIST, RN
Practice Location Address:

9641 BITTER MELON DR
ANGIER, NC
27501-5917

Practice Phone: 919-639-6030
Practice Fax: 919-639-6036

1780813394 — ALLCARE PHARMACY SERVICES, LLC
Practice Location Address:

9641 BITTER MELON DRIVE
ANGIER, NC
27501-5917

Practice Phone: 919-639-6030
Practice Fax: 919-639-6038

Directions to “ MEGAN KRISTINE CANNON OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.