Provider Demographics
NPI:1649811258
Name:O'HARA, MEGHAN KATHLEEN
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:KATHLEEN
Last Name:O'HARA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 COOL SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:HARRISON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15636-1409
Mailing Address - Country:US
Mailing Address - Phone:724-689-4941
Mailing Address - Fax:
Practice Address - Street 1:103 COOL SPRINGS LN
Practice Address - Street 2:
Practice Address - City:HARRISON CITY
Practice Address - State:PA
Practice Address - Zip Code:15636-1409
Practice Address - Country:US
Practice Address - Phone:724-689-4941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13001225X00000X
FLOT20400225X00000X
DEU1-0002073225X00000X
PAOC016500225X00000X
NY022847225X00000X
SC5718225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist