Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0119008605 | VA |
NPI | 1144839606 |
---|---|
Provider Name | Mrs. Megan A Collins |
First Address | Virginia Beach, VA 23462-1832 |
Second Address | Virginia Beach, VA 23456-0167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2020 |
Last Update Date | 11/08/2020 |