Provider Demographics
NPI:1477262798
Name:VARUGHESE, MERIN
Entity Type:Individual
Prefix:
First Name:MERIN
Middle Name:
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14001 MCAULEY BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-7006
Mailing Address - Country:US
Mailing Address - Phone:405-464-9595
Mailing Address - Fax:405-493-6787
Practice Address - Street 1:14001 MCAULEY BLVD STE 150
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-7006
Practice Address - Country:US
Practice Address - Phone:405-464-9595
Practice Address - Fax:405-493-6787
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant