| NPI | 1649696238 |
|---|---|
| Former Name | MEGHAN JANE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01541500) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023256) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2020-04-02 |