Provider Demographics
NPI:1114053642
Name:HARGRAVE, MEGAN LEIGH (OTR/L, MOT, OTD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LEIGH
Last Name:HARGRAVE
Suffix:
Gender:F
Credentials:OTR/L, MOT, OTD
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:LEIGH
Other - Last Name:REPPENHAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, MOT, OTD
Mailing Address - Street 1:1585 MEISNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST CHINA
Mailing Address - State:MI
Mailing Address - Zip Code:48054-4143
Mailing Address - Country:US
Mailing Address - Phone:810-676-1000
Mailing Address - Fax:
Practice Address - Street 1:1585 MEISNER RD
Practice Address - Street 2:
Practice Address - City:EAST CHINA
Practice Address - State:MI
Practice Address - Zip Code:48054-4143
Practice Address - Country:US
Practice Address - Phone:810-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics