Individual
JACLYN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN ST, FORT MORGAN, CO 80701-3290
(970) 867-6544
Mailing address
801 MENG DR APT B, FORT MORGAN, CO 80701-3800
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTL.0015733
CO
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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