Provider Demographics
NPI:1144533878
Name:ELDRIDGE, MEGAN RUTH ZOOK (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RUTH ZOOK
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14350 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8843
Mailing Address - Country:US
Mailing Address - Phone:602-418-0289
Mailing Address - Fax:480-478-0722
Practice Address - Street 1:14350 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8843
Practice Address - Country:US
Practice Address - Phone:602-418-0289
Practice Address - Fax:480-478-0722
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2695225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics