| NPI | 1881970853 |
|---|---|
| Former Name | MEGAN AMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12613) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 012279) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |