Individual
MISS MEGAN VICTORIA POLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2725 N WESTWOOD BLVD STE 17, POPLAR BLUFF, MO 63901-2367
(573) 778-9348
(573) 686-4870
Mailing address
5564 MEADOWVIEW CT SE, PRIOR LAKE, MN 55372-3374
(612) 578-0120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019035821
MO
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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