Individual
MEAGHAN MAKALA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
625 E BROADWAY AVE, JACKSON, WY 83001-8642
(307) 733-3636
Mailing address
219 ABBY LOOP, VICTOR, ID 83455-1252
(850) 791-4036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2102
WY
225100000X
Physical Therapist
PT37580
FL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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