Individual
MEGAN LEE DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
123 N ROLLINS ST, CENTRALIA, MO 65240-1326
(573) 682-3561
(573) 682-2181
Mailing address
811 TRAVIS CIR, CENTRALIA, MO 65240-3346
(660) 621-2532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015036912
MO
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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