Individual
MEGAN DAVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 TRI COUNTY LANE, RICHLAND, MO 65556-1033
(573) 765-3243
Mailing address
22501 HIGHWAY 68, VICHY, MO 65580-8243
(573) 578-7041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012014133
MO
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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