Provider Demographics
NPI:1760861587
Name:VANSADIA, MEGHA (MOT,OTR, MA,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:VANSADIA
Suffix:
Gender:F
Credentials:MOT,OTR, MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27122 BOLTE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3668
Mailing Address - Country:US
Mailing Address - Phone:832-858-4641
Mailing Address - Fax:
Practice Address - Street 1:27122 BOLTE BRIDGE DR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3668
Practice Address - Country:US
Practice Address - Phone:832-858-4641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111008235Z00000X
TX111851225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty