Provider Demographics
NPI:1467577742
Name:SHEIN, MEGAN MCDERMOND (OT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MCDERMOND
Last Name:SHEIN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:M
Other - Last Name:SHEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT
Mailing Address - Street 1:4801 HICKORY LAKE LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2861
Mailing Address - Country:US
Mailing Address - Phone:704-845-6220
Mailing Address - Fax:
Practice Address - Street 1:701 PLANTATION ESTATES DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-6550
Practice Address - Country:US
Practice Address - Phone:704-845-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3017225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist