Individual
MEGYN MARY RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 HAWTHORN HOUSE DR, SHALIMAR, FL 32579-1168
(850) 932-2655
(850) 932-2655
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
(352) 382-1146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22956
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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