Provider Demographics
NPI:1134874142
Name:LAHER, MEGAN (COTA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:LAHER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N3276 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-9458
Mailing Address - Country:US
Mailing Address - Phone:715-965-7027
Mailing Address - Fax:
Practice Address - Street 1:N3276 SUNSET RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:WI
Practice Address - Zip Code:54451-9458
Practice Address - Country:US
Practice Address - Phone:715-965-7027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5115-27Medicaid