Individual
MS. MEGAN M LINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10835 STAGE RD, CLARENCE, NY 14031-2334
(716) 319-8003
Mailing address
10835 STAGE RD, CLARENCE, NY 14031-2334
(716) 319-8003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007588
—
NY
Enumeration date
06/28/2019
Last updated
06/28/2019
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