| NPI | 1538591169 |
|---|---|
| Former Name | MEGAN PROUHET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070021645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2013028624) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2016-11-18 |