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NPI Code Detail

MEDICARE: MRS. MAUREEN NEILL MEEHAN OTR/L

MEDICARE: MRS. MAUREEN NEILL MEEHAN 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 Therapist5747CA

General Provider Information

NPI Number : 1821388349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAUREEN NEILL MEEHAN OTR/L
Provider Business Mailing Address
First Line : 235 NUTMEG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-6201
Country : US
Telephone Number : 619-846-7443
Fax Number : 252-457-0540
Provider Business Practice Location Address
First Line : 235 NUTMEG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-6201
Country : US
Telephone Number : 619-846-7443
Fax Number : 252-457-0540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2011
Last Update Date : 06/23/2022

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