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NPI Code Detail

MEDICARE: MEGHAN SHELLOOE OTR/L

MEDICARE: MEGHAN SHELLOOE 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
1225XP0200XPediatric Occupational TherapistOT28347CA

General Provider Information

NPI Number : 1831051341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN SHELLOOE OTR/L
Provider Business Mailing Address
First Line : 320 CHANNING WAY APT 328
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94903-2614
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 340 TESCONI CIR STE C
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4676
Country : US
Telephone Number : 707-546-9160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ MEGHAN SHELLOOE OTR/L” Practice Location

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