NPI | 1568982890 |
---|---|
Former Name | MEGAN ANN MELUGIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2017027091) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-05672) |
Enumeration Date | 2017-06-27 |
Last Update Date | 2024-08-26 |