Provider Demographics
NPI:1205662483
Name:FIX, MEGAN ALEXANDRA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALEXANDRA
Last Name:FIX
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 SIDNEYS RD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-6772
Mailing Address - Country:US
Mailing Address - Phone:717-881-0009
Mailing Address - Fax:
Practice Address - Street 1:1326 SIDNEYS RD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-6772
Practice Address - Country:US
Practice Address - Phone:717-881-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6856225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist