| NPI | 1336703685 |
|---|---|
| Former Name | MEGAN RIEDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 14337) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-02-13 |