Provider Demographics
NPI:1609441054
Name:DELCAMPO, MEGAN E (OTR)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:DELCAMPO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LT CRAWFORD WHEELER CT
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1244
Mailing Address - Country:US
Mailing Address - Phone:845-641-8102
Mailing Address - Fax:
Practice Address - Street 1:10 LT CRAWFORD WHEELER CT
Practice Address - Street 2:
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1244
Practice Address - Country:US
Practice Address - Phone:845-641-8102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00993800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist