Provider Demographics
NPI:1942611363
Name:DRIVER, MEGHAN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:
Last Name:DRIVER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:KEITH
Other - Last Name:DRIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23 ROSEWOOD CT UNIT 103
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2031
Mailing Address - Country:US
Mailing Address - Phone:540-447-0685
Mailing Address - Fax:
Practice Address - Street 1:23 ROSEWOOD CT UNIT 103
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2031
Practice Address - Country:US
Practice Address - Phone:540-447-0685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006323225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist