Individual
MRS. MEAGAN VENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
125 HOGUE RD, MODESTO, CA 95356
(209) 480-1003
Mailing address
125 HOGUE RD, MODESTO, CA 95356-8833
(209) 480-1003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10319
CA
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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