NPI | 1629366430 |
---|---|
Former Name | MEGAN KATIE CARLEGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1207282) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1207282) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2017-12-18 |