| NPI | 1780086413 |
|---|---|
| Former Name | MEGAN IRVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 1244735) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1244735) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2020-09-24 |