| NPI | 1164087185 |
|---|---|
| Former Name | MEGAN SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070024809) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-12-05 |