Provider Demographics
NPI:1912442955
Name:RAYMOND, MEGAN HOLLOWAY (MOT, LOTR)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:HOLLOWAY
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:MOT, LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1661
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77487-1661
Mailing Address - Country:US
Mailing Address - Phone:318-518-4162
Mailing Address - Fax:
Practice Address - Street 1:6218 CRESTING KNOLLS CIR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1613
Practice Address - Country:US
Practice Address - Phone:318-518-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA300617225XP0200X
TX123380225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics