Doctor Name: | MEGAN PROUHET |
NPI Number: | 1538591169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 2013028624 |
Business Practice Address: | 3545 N Vermilion St Danville, IL - 618321100 |
Business Phone Number: | 2174428611 |
Business Fax Number: | 2173666106 |
Mailing Address: | 101 W University Ave, CHAMPAIGN |
State: | IL |
Postal Code: | 618203909 |
Phone Number: | 2173661323 |
Fax Number: | 2173666106 |
NPI Enumeration Date: | 08/06/2013 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2013028624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |