Provider Demographics
NPI:1851545651
Name:REESE, MEGAN DENISE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DENISE
Last Name:REESE
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 1:20734 ROMAGNA PL
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-3276
Mailing Address - Country:US
Mailing Address - Phone:717-371-7327
Mailing Address - Fax:
Practice Address - Street 1:20734 ROMAGNA PL
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-3276
Practice Address - Country:US
Practice Address - Phone:717-371-7327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16443225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist