Provider Demographics
NPI:1629598826
Name:CAMPBELL, MEAGHAN MICHELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:MICHELLE
Last Name:CAMPBELL
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 1:5760 WHISPERING TRL
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-9058
Mailing Address - Country:US
Mailing Address - Phone:330-998-3858
Mailing Address - Fax:
Practice Address - Street 1:5760 WHISPERING TRL
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9058
Practice Address - Country:US
Practice Address - Phone:330-998-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.009801225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist