| NPI | 1386920759 |
|---|---|
| Former Name | MEGAN LYNNAE VAN ROEKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SD 1555) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004784) |
| 225100000X Physical Therapist (Licence: MN 8809) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-12-08 |