Doctor Name: | MRS. MEGAN ROCHELLE BURGE |
NPI Number: | 1003014945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | 2002019267 |
Business Practice Address: | 10300 W 103rd St Ste 300 Overland Park, KS - 662142658 |
Business Phone Number: | 9138941910 |
Business Fax Number: | |
Mailing Address: | 1960 W Elm Ter, OLATHE |
State: | KS |
Postal Code: | 660613854 |
Phone Number: | 9137686196 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 2002019267 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |