Individual
MRS. MEGAN DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
501 FAIRMOUNT AVE STE 302, TOWSON, MD 21286-5494
(410) 324-7543
Mailing address
2140 N HAYDEN DR, TUCSON, AZ 85715-4352
(619) 200-3350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT6304
TX
2255A2300X
Athletic Trainer
Primary
ATR-009173
AZ
Other
Enumeration date
07/22/2016
Last updated
11/08/2022
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