Meghan Gaynor

Individual provider Active NPI Pediatric Occupational Therapist · Mexico, NY

NPI 1336973007 · NPPES record last updated Aug 27, 2024

Key facts

NPI
1336973007
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
029329 (NY)
Practice address
216 County Route 64
Mexico, NY 13114-3229
Phone
(315) 963-0864
Fax
(315) 963-7693
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
029329NYMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 029329 NY Yes

Addresses

Primary practice location

216 County Route 64
Mexico, NY 13114-3229

Mailing address

PO Box 519
Watertown, NY 13601-0519
Phone (315) 782-3941

Other providers in Mexico, NY

All providers in Mexico, NY · Pediatric Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.