Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00938800 | NJ |
NPI | 1073184990 |
---|---|
Provider Name | Meaghan Myers |
First Address | Wayne, NJ 07470-6291 |
Second Address | Wayne, NJ 07470-6291 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2021 |
Last Update Date | 02/07/2021 |