Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 7130 | NC |
NPI | 1053634758 |
---|---|
Provider Name | Megan Bevington |
First Address | Charlotte, NC 28209-2272 |
Second Address | Charlotte, NC 28209-2272 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2010 |
Last Update Date | 30/08/2012 |