Individual
MEGAN MARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2321 NEWBURG RD, FORTUNA, CA 95540-2815
(707) 725-4467
Mailing address
1960 LOOP RD, FORTUNA, CA 95540-9227
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
37234
CA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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