| NPI | 1508396185 |
|---|---|
| Former Name | MEGAN RENEE BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017024057) |
| 225100000X Physical Therapist (Licence: KS 11-05705) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-11-28 |