| Doctor Name: | MS. MEGAN SEAN HARDISTY |
| NPI Number: | 1003084906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 11412 |
| Business Practice Address: | 4201 Lake Boone Trail Suite 4 Raleigh, NC - 276077511 |
| Business Phone Number: | 9199683456 |
| Business Fax Number: | 9199323456 |
| Mailing Address: | 1829 East Franklin Street, Bldg. # 600 CHAPEL HILL |
| State: | NC |
| Postal Code: | 27214 |
| Phone Number: | 9199683456 |
| Fax Number: | 9199323456 |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 09/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11412 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |