Provider Demographics
NPI:1841985637
Name:DUNCAN, MEGAN TAYLOR (COTA/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:TAYLOR
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:KACHMARIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:3541 PINE TREE LOOP
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-9098
Mailing Address - Country:US
Mailing Address - Phone:863-224-8249
Mailing Address - Fax:
Practice Address - Street 1:400 N LAKE HOWARD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881
Practice Address - Country:US
Practice Address - Phone:800-378-7597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA17615224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant