| NPI | 1023590791 |
|---|---|
| Former Name | MEGHAN LYNN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT34308) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 043093) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-07-13 |