Provider Demographics
NPI:1255739330
Name:HENRY, MEGAN LEE (OTR/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEE
Last Name:HENRY
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 1:202 N DIVISION ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-4939
Mailing Address - Country:US
Mailing Address - Phone:253-545-2824
Mailing Address - Fax:253-804-2896
Practice Address - Street 1:202 N DIVISION ST
Practice Address - Street 2:SUITE 103
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4939
Practice Address - Country:US
Practice Address - Phone:253-545-2824
Practice Address - Fax:253-804-2896
Is Sole Proprietor?:No
Enumeration Date:2014-12-05
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003788225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand