Individual
MRS. MEGAN ANNE BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
750 OAK PARK CIR, MERRITT ISLAND, FL 32953-4158
(954) 295-7680
Mailing address
750 OAK PARK CIR, MERRITT ISLAND, FL 32953-4158
(954) 295-7680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4821
NC
Other
Enumeration date
09/17/2013
Last updated
07/23/2019
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