Provider Demographics
NPI:1306181979
Name:HAMILTON, MEGAN RAE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:RAE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 DARIEN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2029
Mailing Address - Country:US
Mailing Address - Phone:859-608-5492
Mailing Address - Fax:
Practice Address - Street 1:1812 DARIEN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2029
Practice Address - Country:US
Practice Address - Phone:859-608-5492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR4383225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist