Doctor Name: | MEGAN MARKIEWICZ |
NPI Number: | 1518252279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37234 |
Business Practice Address: | 2321 Newburg Rd Fortuna, CA - 955402815 |
Business Phone Number: | 7077254467 |
Business Fax Number: | |
Mailing Address: | 1960 Loop Rd, FORTUNA |
State: | CA |
Postal Code: | 955409227 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 37234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |