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Individual

CHRIS MEGILLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1045 FLORIDA AVE, SLIDELL, LA 70458-2923
(985) 280-9355
(985) 280-1585
Mailing address
1045 FLORIDA AVE, SLIDELL, LA 70458-2923
(985) 280-9355
(985) 280-1585

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03469
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03469
PHYSICAL THERAPY STATE LICENSE
LA
Enumeration date
03/09/2017
Last updated
03/09/2017
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