Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 31004637A | IN |
Y | 225XH1200X | Occupational Therapist - Hand | 31004637A | IN |
NPI | 1053634931 |
---|---|
Provider Name | Megan E Albright |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46260-2046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2010 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062110011 | MEDICARE PTAN (01) | IN |
200990010 | (05) | IN |
31004637A | LICENSE (01) | IN |