Doctor Name: | MRS. MEGAN CATHLEEN PETTIT |
NPI Number: | 1831264142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PT |
License Number: | 0209701 |
Business Practice Address: | 650 Hawkins Ave Suite 7 Ronkonkoma, NY - 11780 |
Business Phone Number: | 6319817422 |
Business Fax Number: | 6319812490 |
Mailing Address: | 650 Hawkins Ave, Suite 7 RONKONKOMA |
State: | NY |
Postal Code: | 11780 |
Phone Number: | 6319817422 |
Fax Number: | 6319812490 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0209701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |