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Individual
MEGAN BROOKE FOWLER
Active
Individual
MEGAN BROOKE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000008101
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
01
—
AT.0001028
DEPARTMENT OF REGULATORY AGENCIES
CO
01
—
RT005573
PENNSYLVANIA LICENSING SYSTEM
PA
Enumeration date
12/30/2018
Last updated
12/30/2018
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