| NPI | 1366798282 |
|---|---|
| Former Name | MEGAN ANNE GAVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207457) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24253) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2013-11-19 |