Provider Demographics
NPI:1154967677
Name:CARSEY, MEGAN (COTA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CARSEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2346
Mailing Address - Country:US
Mailing Address - Phone:440-539-2913
Mailing Address - Fax:
Practice Address - Street 1:3720 N RIDGE RD W
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6366
Practice Address - Country:US
Practice Address - Phone:440-261-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant