Provider Demographics
NPI:1841839859
Name:MYERS, ABIGAIL MEAGAN (MOT, OTR)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:MEAGAN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:MISS
Other - First Name:ABIGAIL
Other - Middle Name:MEAGAN
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 TULIP ST
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-6049
Mailing Address - Country:US
Mailing Address - Phone:479-685-7421
Mailing Address - Fax:
Practice Address - Street 1:3625 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0351
Practice Address - Country:US
Practice Address - Phone:479-685-7421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist