Individual
MEGAN MAICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7831 TWIN EAGLE LN, FORT MYERS, FL 33912-1800
(239) 898-9746
Mailing address
7831 TWIN EAGLE LN, FORT MYERS, FL 33912-1800
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/04/2017
Last updated
02/04/2017
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