| NPI | 1497206106 |
|---|---|
| Former Name | MEGHAN ROSE WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC PT16544) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 16544) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2019-10-01 |