Doctor Name: | MEGAN SMITH-CANNISTRACI |
NPI Number: | 1063552891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4401 |
Business Practice Address: | 3025 Harbor Ln N Suite 314 Plymouth, MN - 554475119 |
Business Phone Number: | 7635590356 |
Business Fax Number: | 7635595193 |
Mailing Address: | 7581 9th St N, Suite 100 OAKDALE |
State: | MN |
Postal Code: | 551286626 |
Phone Number: | 6517484338 |
Fax Number: | 6517482892 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |