| NPI | 1083613103 |
|---|---|
| Former Name | MEGHAN ELIZABETH CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60056174) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 17200) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-10-29 |