Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 001867 | IA |
NPI | 1003081563 |
---|---|
Provider Name | Ms. Megan Marie Gayman |
First Address | Muscatine, IA 52761-2286 |
Second Address | Muscatine, IA 52761-2286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 25/04/2008 |