Provider Demographics
NPI:1982398749
Name:DRISCOLL, MEGAN MICHELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MICHELLE
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:ROSENTHAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2219A WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2237
Mailing Address - Country:US
Mailing Address - Phone:901-598-8905
Mailing Address - Fax:
Practice Address - Street 1:1035 FULTON GREER RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2296
Practice Address - Country:US
Practice Address - Phone:901-598-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6016225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist