Individual
MEGAN SUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CMT
Contact information
Practice address
101 N MERION AVE, BRYN MAWR, PA 19010-2859
(610) 526-7422
Mailing address
202 LAFAYETTE DR, LOGAN TWP, NJ 08085-1437
(267) 242-0085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003435
PA
Other
Enumeration date
03/15/2006
Last updated
09/11/2008
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