Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 10897 | NC |
NPI | 1003451105 |
---|---|
Provider Name | Megan Marie Barber |
First Address | Belmont, NC 28012-2118 |
Second Address | Charlotte, NC 28278-7623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2019 |
Last Update Date | 12/11/2019 |