Provider Demographics
NPI:1528200920
Name:PRICE, MEGAN NICOLE (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:NICOLE
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:NICHOL
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 FLEETWOOD CV
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2032
Mailing Address - Country:US
Mailing Address - Phone:972-754-8205
Mailing Address - Fax:
Practice Address - Street 1:5805 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6989
Practice Address - Country:US
Practice Address - Phone:972-754-8205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10552225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics