Gordon, Megan Tucker

Gordon, Megan Tucker is an individual health care provider with primary practice located at 8 Zachary Pl , Augusta GA 30907-3273. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gordon, Megan Tucker can be contacted via phone (706) 951-5573.

Contact Information

Primary practice address
8 Zachary Pl Augusta GA 30907-3273
Phone: (706) 951-5573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2958 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT004032 Georgia

Profile Details

NPI number 1669420212
LBN Legal business name Gordon, Megan Tucker
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669420212 NPPES
South Carolina MEDICAID TH1602

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