Provider Demographics
NPI:1437204013
Name:COUPLAND, MEGAN SANFORD (OTR)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SANFORD
Last Name:COUPLAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ANNE
Other - Last Name:SANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:136A ARCH ST
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2186
Mailing Address - Country:US
Mailing Address - Phone:802-578-9171
Mailing Address - Fax:
Practice Address - Street 1:136A ARCH ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2186
Practice Address - Country:US
Practice Address - Phone:802-578-9171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2320225X00000X
NY010812-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist