Provider Demographics
NPI:1497513253
Name:GEAR, MEAGAN (COTA/L)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:GEAR
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20681 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-2359
Mailing Address - Country:US
Mailing Address - Phone:440-840-8134
Mailing Address - Fax:
Practice Address - Street 1:16363 PEARL RD # 312
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6002
Practice Address - Country:US
Practice Address - Phone:440-316-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA008517224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant