Provider Demographics
NPI:1932896370
Name:HANNAGAN, MEAGHAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:
Last Name:HANNAGAN
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 1:271 HATHAWAY COMMONS RD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-6819
Mailing Address - Country:US
Mailing Address - Phone:508-642-7332
Mailing Address - Fax:
Practice Address - Street 1:1470 NEW STATE HWY
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5420
Practice Address - Country:US
Practice Address - Phone:774-202-9206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11058225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist