Individual
MS. MEGAN MEDUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
457 S FITNESS PL STE 100, EAGLE, ID 83616-6568
(208) 939-3332
(208) 939-3338
Mailing address
457 S FITNESS PL STE 100, EAGLE, ID 83616-6568
(208) 939-3332
(208) 939-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-8164
ID
2251N0400X
Neurology Physical Therapist
29928
CA
2251X0800X
Orthopedic Physical Therapist
Primary
29928
CA
Other
Enumeration date
03/25/2010
Last updated
01/25/2024
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