| NPI | 1073231494 |
|---|---|
| Former Name | MAEGAN LYNN ROLLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2024040371) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-07584) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-01-14 |