Provider Demographics
NPI:1326548983
Name:SMITH, MEAGHAN SCHUYLER (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MEAGHAN
Middle Name:SCHUYLER
Last Name:SMITH
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 1:2319 US HWY BSN 340 W
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:VA
Mailing Address - Zip Code:22851-3226
Mailing Address - Country:US
Mailing Address - Phone:540-843-3712
Mailing Address - Fax:
Practice Address - Street 1:110 LAUCK DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-4282
Practice Address - Country:US
Practice Address - Phone:540-667-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119007595225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist