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Individual

MEGAN JEAN NAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4543 WILLAMETTE CIR, ORLANDO, FL 32826-4283
(407) 473-2764
Mailing address
2438 ORSOTA CIR, OCOEE, FL 34761-5002
(407) 654-0026
(407) 654-2945

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT21810
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT21810
STATE OF FL DEPARTMENT OF
FL
Enumeration date
07/12/2007
Last updated
05/14/2014
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