Individual
MEGAN OETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5025 SPAANEM AVE, MADISON, WI 53716-2837
(608) 643-2629
Mailing address
5025 SPAANEM AVE, MADISON, WI 53716-2837
(608) 643-2629
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1970-19
WI
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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