NPI | 1396262416 |
---|---|
Former Name | MEGAN MCCARTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10683) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 24545) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2020-11-16 |