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Individual

MRS. MEGAN LEE WESSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8881 ROUTE 97, CALLICOON, NY 12723
(845) 333-6882
(845) 887-4656
Mailing address
8881 ROUTE 97, CALLICOON, NY 12723
(458) 333-6882
(845) 887-4656

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029966
NY
2251P0200X
Pediatric Physical Therapist
Primary
029966
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029966
STATE LICENSE
NY
Enumeration date
02/07/2008
Last updated
10/26/2022
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