Provider Demographics
NPI:1932511581
Name:VILECE, MEGAN CALVERT (OTR/L)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:CALVERT
Last Name:VILECE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:COLLEEN
Other - Last Name:CALVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:94 ARLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:EDWARDS
Mailing Address - State:CO
Mailing Address - Zip Code:81632-8184
Mailing Address - Country:US
Mailing Address - Phone:970-343-0116
Mailing Address - Fax:
Practice Address - Street 1:94 ARLINGTON PL
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-8184
Practice Address - Country:US
Practice Address - Phone:970-343-0116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003920225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist