| Doctor Name: | DR. MEGAN E MATSEN |
| NPI Number: | 1548570971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 031976 |
| Business Practice Address: | 3374 Franklin Ave Millbrook, NY - 125455969 |
| Business Phone Number: | 8456776196 |
| Business Fax Number: | 8456770356 |
| Mailing Address: | 3374 Franklin Ave, MILLBROOK |
| State: | NY |
| Postal Code: | 125455969 |
| Phone Number: | 8456776196 |
| Fax Number: | 8456770356 |
| NPI Enumeration Date: | 10/19/2010 |
| NPI Last Update Date: | 10/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 031976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |