Provider Demographics
NPI:1699063289
Name:BELANGER, MEGAN (LMT, CLT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BELANGER
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BELANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:45 LYMAN ST STE 22
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-2657
Mailing Address - Country:US
Mailing Address - Phone:508-986-8601
Mailing Address - Fax:508-366-8122
Practice Address - Street 1:45 LYMAN ST STE 22
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2657
Practice Address - Country:US
Practice Address - Phone:508-986-8601
Practice Address - Fax:508-366-8122
Is Sole Proprietor?:No
Enumeration Date:2011-07-16
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11924225X00000X
MAMT-9924-MT225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist