Individual
MEGAN CAROL MATRISCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2121 HUGHES DRIVE, HMT #710, SYLVANIA, OH 43560
(419) 291-2671
(419) 291-2680
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
1154529
—
363A00000X
Physician Assistant
Primary
50.006041RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2016
Last updated
11/03/2023
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