Individual
MEGAN LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 SATORIL PKWY, AVON, IN 46123-6406
(317) 272-4186
Mailing address
301 SATORIL PKWY, AVON, IN 46123-6406
(317) 272-4186
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05010921A
IN
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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