| NPI | 1699059881 |
|---|---|
| Former Name | MEGHAN MCCONVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 19019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008369) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-04-26 |