Provider Demographics
NPI:1669668778
Name:COPELAND, MEGAN CHRISTY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:CHRISTY
Last Name:COPELAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:CHRISTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:4510 27TH ST
Mailing Address - Street 2:BENDER TERRACE
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1709
Mailing Address - Country:US
Mailing Address - Phone:806-785-2464
Mailing Address - Fax:
Practice Address - Street 1:4510 27TH ST
Practice Address - Street 2:BENDER TERRACE
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1709
Practice Address - Country:US
Practice Address - Phone:806-785-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112266225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist