Provider Demographics
NPI:1588919500
Name:O'REILLY, MEGHAN GLOWACKI (OTR/L)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:GLOWACKI
Last Name:O'REILLY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:KAROLINE
Other - Last Name:GLOWACKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2288 PRAGUE LN
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-8648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3630 BITTERSWEET ST SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-5098
Practice Address - Country:US
Practice Address - Phone:941-276-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60376051225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist