Provider Demographics
NPI:1760430805
Name:BRUNELL, MEGAN MELISSA (OTR, CHT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MELISSA
Last Name:BRUNELL
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4032 PERTH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8050
Mailing Address - Country:US
Mailing Address - Phone:303-371-5584
Mailing Address - Fax:
Practice Address - Street 1:8550 W 38TH AVE
Practice Address - Street 2:STE 106
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4300
Practice Address - Country:US
Practice Address - Phone:303-421-1440
Practice Address - Fax:303-421-2524
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand