| NPI | 1801214036 |
|---|---|
| Former Name | MEGAN JURKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208568) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 8623) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |