Individual
MEGAN RENEE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Mailing address
42 JACKS ST, GAS CITY, IN 46933-2149
(765) 517-0886
(765) 628-3639
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05012774A
IN
2251P0200X
Pediatric Physical Therapist
06003545A
IN
Other
Enumeration date
05/05/2009
Last updated
12/07/2017
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