NPI | 1104080043 |
---|---|
Former Name | MEGAN RENE LYNCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 9354) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P19440) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2020-07-27 |