Provider Demographics
NPI:1972299212
Name:DINKINS, MEGAN LATOYA (OT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:LATOYA
Last Name:DINKINS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 HERITAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-8003
Mailing Address - Country:US
Mailing Address - Phone:251-463-5411
Mailing Address - Fax:
Practice Address - Street 1:258 HERITAGE CIR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-8003
Practice Address - Country:US
Practice Address - Phone:251-463-5411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3415225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist