Provider Demographics
NPI:1063709764
Name:STAPLETON, MEGHAN HORAN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:HORAN
Last Name:STAPLETON
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 1:1215 FORREST DR
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-9092
Mailing Address - Country:US
Mailing Address - Phone:518-225-8407
Mailing Address - Fax:
Practice Address - Street 1:845 4TH AVE
Practice Address - Street 2:SUITE 302A
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1428
Practice Address - Country:US
Practice Address - Phone:304-523-1164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1438225X00000X
NY010031-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist