MEDICARE: DR. MEADOW RENEE DEASON OTD, 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	225X00000X	Occupational Therapist	2286	NV

General Provider Information

NPI Number	:	1770153165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEADOW RENEE DEASON OTD, OTR/L

Provider Business Mailing Address
First Line	:	2110 HEAVENLY VIEW TRL
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-6886
Country	:	US
Telephone Number	:	775-232-6359
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W LIBERTY ST STE 201
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89501-2027
Country	:	US
Telephone Number	:	775-525-8103
Fax Number	:	775-525-8105

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

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	03/03/2026

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