Individual
MEGAN PASSARELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29 DEBRAGGA AVE, EAST MORICHES, NY 11940-1416
(631) 680-3881
Mailing address
29 DEBRAGGA AVE, EAST MORICHES, NY 11940-1416
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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