Individual
MEGAN IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W 38TH ST, 201, AUSTIN, TX 78731-6400
(512) 206-0433
(512) 206-0797
Mailing address
2512 BERKETT DR, AUSTIN, TX 78745-4353
(512) 663-4486
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1206131
TX
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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