Provider Demographics
NPI:1609491687
Name:IOVINO, MEGAN DANIELLE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:DANIELLE
Last Name:IOVINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 FOCH BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1510
Mailing Address - Country:US
Mailing Address - Phone:516-851-0699
Mailing Address - Fax:
Practice Address - Street 1:681 FOCH BLVD
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1510
Practice Address - Country:US
Practice Address - Phone:516-851-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024673-01225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics