Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 5201007949 | MI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201007949 | MI |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 5201007949 | MI |
NPI | 1275822975 |
---|---|
Provider Name | Meghan Elizabeth Stevens |
First Address | Howell, MI 48843-9029 |
Second Address | Whitmore Lake, MI 48189-9153 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 23/02/2012 |