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NPI Code Detail

MEDICARE: MEGAN TAYA COLEMAN OTD, OTR/L

MEDICARE: MEGAN TAYA COLEMAN 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
1225X00000XOccupational Therapist113929AK

General Provider Information

NPI Number : 1962943175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN TAYA COLEMAN OTD, OTR/L
Provider Business Mailing Address
First Line : 2175 CAMPBELL PLACE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-1331
Country : US
Telephone Number : 907-529-6039
Fax Number :
Provider Business Practice Location Address
First Line : 1803 KEPNER DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99504-3061
Country : US
Telephone Number : 907-529-6039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2017
Last Update Date : 04/16/2018

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