Provider Demographics
NPI:1679181770
Name:HOLLINGER, MEGAN PATRICIA
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:PATRICIA
Last Name:HOLLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 ROBERT FULTON HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566
Mailing Address - Country:US
Mailing Address - Phone:717-786-7321
Mailing Address - Fax:
Practice Address - Street 1:625 ROBERT FULTON HWY
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1400
Practice Address - Country:US
Practice Address - Phone:717-786-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008780225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA173736666Medicaid
PA17373666Medicaid