Most Relevant Information
Provider Data
| NPI Number: | 1003397167 |
| Provider Name: | MEGAN MOTTOLA OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0119007696 |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
250 FLANK RD
PETERSBURG
VA
238059117
Practice Location Phone/Fax
| Phone: | 8048612223 |
| Fax: |
Provider Mailing Location
29 DUBLIN DR
BALLSTON SPA
NY
120201041
Provider Mailing Phone/Fax
| Phone: | 5183960943 |
| Fax: |