| NPI | 1659099182 |
|---|---|
| Former Name | MEAGAN ALLISON MARCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 302829) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305215138) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2024-09-30 |