Individual
MEGAN DELANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA/L
Contact information
Practice address
17 CHIPMAN WAY, KINGSTON, MA 02364-1039
(781) 585-4100
Mailing address
PO BOX 1821, ONSET, MA 02558-1821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220
—
MA
Enumeration date
12/16/2018
Last updated
12/16/2018
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