Individual
MEGAN ROSE O'HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 IAC, MT PLEASANT, MI 48859-0001
(206) 601-4242
Mailing address
17836 114TH PL SE, RENTON, WA 98055-6582
(206) 601-4242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000032831
DE
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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