| NPI | 1689449381 |
|---|---|
| Former Name | MEGAN ANN JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1362777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1362777) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |