| NPI | 1649247495 |
|---|---|
| Former Name | MEGAN BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 03436) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 7527) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-07-21 |