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NPI Code Detail

MEDICARE: MRS. MEGAN LYNN WEST OTR

MEDICARE:  MRS. MEGAN LYNN WEST  OTR
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 Therapist5201006325MI

General Provider Information

NPI Number : 1962724328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN LYNN WEST OTR
Provider Business Mailing Address
First Line : 2446 MANCHESTER RD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-5894
Country : US
Telephone Number : 586-201-5119
Fax Number :
Provider Business Practice Location Address
First Line : 2446 MANCHESTER RD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-5894
Country : US
Telephone Number : 586-201-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 09/14/2011

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Directions to “ MRS. MEGAN LYNN WEST OTR” Practice Location

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