| NPI | 1770851016 |
|---|---|
| Former Name | MEGAN CHRISTINE GONZALEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT60341206) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ LPT31630) |
| 225100000X Physical Therapist (Licence: VA 2305214523) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2023-08-30 |