| NPI | 1750836789 |
|---|---|
| Former Name | MEGAN PORTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025583) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 11110) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2024-06-27 |